Title: Study on incidence of testicular tuberculosis in cases of epididymo-orchitis
Authors: Arvind Anchavle, Ritesh Dhanbhar, Rahul Maske
DOI: https://dx.doi.org/10.18535/jmscr/v7i9.75
Abstract
Objective: This study was performed to determine incidence of testicular tuberculosis in cases of epididymo-orchitis.
Methodology: Retrospective observational study was carried out at our institute in 500 cases of epididymo-orchitis. All cases were initially managed with antibiotics and anti inflammatory drugs. Patient in which orchidectomy is done, testis were sent for histopathological evaluation.
Results: Of 500 cases, 0.8% of the cases were confirmed with the diagnosis of testicular tuberculosis. Out of 143 cases that underwent Orchidectomy, 2.7% of cases were having testicular tuberculosis.
Conclusion: It is important to keep in mind that testicular tuberculosis is a possible differential, while diagnosing cases of scrotal swellings and in cases of epididymo-orchitis. A negative history of Pulmonary TB does not necessarily exclude the diagnoses of testicular TB.
References
- Kumar V, Abbas AK, Aster JC, Fausto N. Robbins and Cotran Pathologic Basis of Disease. 8th ed. Philadelphia: WB Saunders Co; 2007.
- Cotran RS, Kumar V, Stanley L, Robbins WB. Robbins’ Pathologic Basis of Disease. 5th ed. Philadelphia: WB Saunders Co; 1994.
- Coats J. A Manual of Pathology. Charleston: Nabu Press; 2010.
- Muttarak, M and Peh, WC (2006). Case 91: tuberculous epididymo-orchitis. Radiology 238: 748–751.
- Chudasama N, Sidhu R, Shah N. Classical case of tuberculous Epididymo-orchitis and how to rule out differentials on sonography. West Afr J Radiol 2016;23:32-5.
- Dogra VS, Gottlieb RH, Oka M, Rubens DJ. Sonography of the scrotum. Radiology 2003;227:18-36.
- Miu WC, Chung HM, Tsai YC, Luo FJ. Isolated tuberculous epididymitis masquerading as a scrotal tumor. J Microbiol Immunol Infect 2008 Dec;41(6):528-30.
- Papadopoulos A, Bartziokas K, Morphopoulos G, Anastasiadis A, Makris D. A rare case of isolated tuberculous epididymitis in a young man presenting with a swollen testicle. OA Case Reports 2013 Jan 31;2(1):3.
- Mete C, Severin L, Kurt GN, Michael CB, Truls EBJ, Botto EAU guidelines for the management of genitourinary tuberculosis. Eur Urol 2005 Sep;48(3):353-62.