Pathogenetic justification of new medical tactics at acute epididymoorchites at men

The purpose of the research was studying of one of links of a pathogenesis of an acute epididymitis – an intrascrotal hypertension and its role in development of disturbances of a regionar hemodynamic of an epididymis with the subsequent development of algorithm of management of this disease. As a result of the carried-out research existence of basic differences of a hemodynamic in an epididymis is proved at acute epididymitis, being accompanied by an intrascrotal hypertension. It was established that in the absence of a purulent destruction of an epididymis at acute epididymitis preferably low-invasive treatment – a scrotum puncture. Use of a punction technique in aggregate with traditional conservative therapy allows to reduce quantity of unjustified surgical grants, to reduce intensity of a pain syndrome, to accelerate cupping of systemic inflammatory reaction.