Archive Info
A Rare Case Of Genital Tuberculosis 
Vasu Nikunj
Department of Surgery, Military Hospital Chennai, India
Department of Surgery, Military Hospital Chennai, India
Keywords
Pulmonary tuberculosis, High-resolution ultrasonography, anti-TB chemotherapy, Extra-pulmonary TB
Abstract
A 23-year-old male with an atypical presentation was diagnosed with a rare case of left-sided isolated testicular tuberculosis (TB). Testicular TB is an uncommon form of genitourinary TB, characterized by painful or painless swelling of the testicles, sometimes accompanied by scrotal ulceration or discharging sinus. The epididymis is often affected as well. Genital TB is frequently associated with TB involvement in the kidneys or lower urinary tract, leading to lower urinary tract symptoms in affected patients. High-resolution ultrasonography (HRUS) is the recommended method for assessment due to the lack of definitive signs distinguishing genitourinary TB from testicular malignancy. Once testicular TB is confirmed, the primary treatment approach is anti-TB chemo-therapy, aiming for complete resolution of the lesion. However, in rare cases, orchidectomy may
be necessary for both diagnostic and therapeutic purposes. In this case, the patient underwent a 6-month regimen of anti-TB chemotherapy, resulting in a complete cure of
the isolated testicular TB.
Keywods: Pulmonary tuberculosis, High-resolution ultrasonography, anti-TB chemotherapy, Extra-pulmonary TB
How to cite this article:
Vasu Nikunj, A Rare Case of Genital Tuberculosis, Chennai, India. Journal of Clinical Trails & Research 2023; 1(1): 8-10.
References
- Viveiros F, Tente D, Espiridião P, Carvalho A, Duarte R “Testicular tuberculosis: Case report” Rev. Port Pneumol., 2009;15:1193-7.
- Hadadi A, Pourmand G, Mehdipour-Aghabagher B “Uni-lateral testicular tuberculosis: Case report” Andrologia 2012;44:70-2.
- Shah H, Shah K, Dixit R, Shah KV “Isolated tuberculous epididymoorchitis” Indian J. Tuberc., 2004;51:159-62.
- Gurubacharya RL, Gurubacharya SM “A 14-year-old boy with isolated tuberculous orchitis” J. Nepal Paediatr. Soc. 2009;29:30-2.
- Wise GJ, Shteynshlyuger A “An update on lower urinary tract tuberculosis” Curr. Urol. Rep., 2008;9:305-13.
- Viswaroop BS, Kekre N, “Gopalakrishnan G. Isolated tuberculous epididymitis: A review of forty cases” J. Postgrad. Med., 2005;51:109-11.
- Garbyal RS, Sunil K. “Diagnosis of isolated tuberculous orchitis by fine-needle aspiration cytology” Diagn. Cyto-pathol., 2006;34:698-700.
- Shugaba AI, Rabiu AM, Uzokwe C, “Matthew RM. Tuberculosis of the testis: A case report” Clin. Med. Insights Case Rep., 2012;5:169-72.
- Muttarak M, Peh WC, Lojanapiwat B, Chaiwun B, “Tuberculous epididymitis and epididymoorchitis: Sonographic appearances” AJR Amer. J. Roentgenol., 2001;176:1459-66.
- Muttarak M, Peh WC. “Case 91: Tuberculous Epididymo-orchitis” Radiology, 2006;238:748-51.
