Tuberculous epididymo-orchitis: clinical and ultrasound observations.
The clinical, radiological and ultrasound features of 3 patients presenting with tuberculous epididymo-orchitis are described and the relevant literature reviewed. Scrotal swelling, pain and sinuses are common features at presentation. The presence of a sterile pyuria is a useful sign, but intravenous urography may fail to identify active renal disease. Ultrasound examination revealed testicular involvement in 2 patients. Differentiation from tumour may not be possible, but the presence of epididymal involvement strongly suggests an infective cause. Early surgical biopsy may prove helpful if acid-fast bacilli are not initially identified in early morning urine samples.
Heaton
N D
ND
Department of Urology, King's College Hospital, London.
Hogan
B
B
Michell
M
M
Thompson
P
P
Yates-Bell
A J
AJ
D000328:Adult; D004823:Epididymitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D014389:Tuberculosis, Male Genital / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014463:Ultrasonography