The question of nonspecific epididymitis

Abstract

The question of nonspecific epididymitis is examined in detail in the article by Pechersky (Vener. And Derm., 1928, No. 1). The author casts doubt on the correctness of the previously existing opinion that nonspecific epididymitis is a very rare disease, based on the study of literature data, from which it is clear that an increase in the incidence of this disease has been observed recently. For 2 years, the author himself observed 52 cases of nonspecific epididymitis (1/6 of all epididymitis that were under his supervision), where gonorrhea and syphilis could be safely excluded. Etiologically nonspecific epididymitis is a collective concept covering cases of various origins. Of all the theories explaining its development, the most recognized, according to the author, is infectious. Bacteriological studies of a number of authors have undoubtedly established the presence of microbial flora in the anterior and posterior urethra of people who have never had gonorrhea before. The author tries to explain the origin of nonspecific epididymitis by entering the vas deferens of this flora from the urethra and bringing it into the appendages by antiperistaltic movements of the ducts. Clinically, nonspecific epididymitis are distinguished by their relative benignity and subacute course without violent inflammation.