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Male Genital Tuberculosis

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Abstract

Male Genital TB (MGTB) seems to be a rare disease. Nevertheless, 70 % of men who die from tuberculosis of all localizations have prostate tuberculosis (Kulchavenya 2004). In Russia this means that more than 10,000 men annually are diagnosed with prostate tuberculosis, which again has become a sexually transmitted disease (Aphonin et al. 2006) – and prostate tuberculosis is one of the main reasons for infertility – both male and female.

As rule, tuberculosis of the prostate is combined with lesion of other organs of the urogenital system. However, isolated epididymitis was found in 22 % of UGTB, but bilateral orchiepididymitis was more common. Fistulas were seen in 12 % of cases; in patients with an acute onset, 67 % had fistulas (Kul’chavenia et al. 2004; Madeb et al. 2005).

The clinical presentations of tuberculous epididymo-orchitis included scrotal mass (80 %), scrotal pain (44 %), micturition syndrome (8 %), urethral discharge (4 %), and scrotal fistula (4 %). One-third of the patients had pulmonary tuberculosis. Four patients (16 %) had underlying human immunodeficiency virus infection. Tuberculous epididymo-orchitis should be considered in the patients who present with a scrotal mass. The preoperative differentiation of tuberculous epididymoorchitis from non-tuberculous epididymo-orchitis and testicular tumor is difficult. In patients who have epididymal and testicular lesions, surgical excision provides the diagnosis. Exact histopathologic categorization is important to select appropriate medical therapy (Suankwan et al. 2012).

Keywords

  • Prostate Biopsy
  • Chronic Prostatitis
  • Penile Cancer
  • Chronic Pelvic Pain Syndrome
  • Glans Penis

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Kulchavenya, E. (2014). Male Genital Tuberculosis. In: Urogenital Tuberculosis: Epidemiology, Diagnosis, Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-04837-6_8

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