[High-frequency ultrasonography for epididymal stasis after vasectomy].

Objective: To explore the clinical application of high-frequency ultrasound in the diagnosis and treatment of epididymal stasis after vasectomy.Methods: We retrospectively studied the sonographic characteristics of 23 cases of epididymal stasis treated by vasectomy,which were divided into a mild(n=5),a moderate(n=11) and a severe group(n=7) according to the results of color Doppler flow imaging.We analyzed the significance of high-frequency ultrasonography in the treatment of epididymal stasis after vasectomy.Results: High-frequency ultrasonography revealed 14 cases of increased bilateral epididymal volume,6 cases of left epididymal thickening and 3 cases of right epididymal thickening,mainly the thickening of the epididymal body and tail.After conservative treatment,18 of the epididymal stasis cases(5 mild,11 moderate and 2 severe) were improved,and the other 5 severe cases significantly relieved and discharged from hospital following conservative treatment combined with vasectomy reversal.Conclusion: Post-vasectomy epididymal stasis has typical sonographic characteristics,and high-frequency ultrasonography has an extremely important application value in the clinical classification,diagnosis and treatment of the disease.