[Diagnosis and treatment of tuberculosis in the male genital system].
OBJECTIVE
To probe into and improve the diagnosis and treatment of tuberculosis (TB) in the male genital system.


METHODS
Fifteen patients with the male genital system TB established by microbiological and pathological examinations were retrospectively reviewed.


RESULTS
The male genital system TB was diagnosed by history, physical examination, semen analysis, TB culture and biopsy. Treatment consisted of antituberculous chemotherapy for all the patients before and/or after operation, including 5 cases of epididymectomy and 6 cases of orchi-epididymectomy.


CONCLUSIONS
The male genital system TB tends to be atypical and semen polymerase chain reaction of TB (TB-PCR) may provide a new specific means for diagnosis in case of clinical suspicion. Surgical approaches should be cautiously adopted, especially for young patients.
Shen
Zhoujun
Z
Department of Urology, First Affiliated Hospital, Zhejiang University Medical College, Hangzhou, Zhejiang 310003, China. shenzhj@mail.hz.zj.cn
Wang
Hua
H
Chen
Shanwen
S
Shi
Shifang
S
Chen
Zhaodian
Z
Wei
Kexiang
K
Zhang
Zhigen
Z
Zhu
Xuanwen
X
Cai
Songliang
S
D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012189:Retrospective Studies; D014389:Tuberculosis, Male Genital / Q000175:diagnosis* / Q000628:therapy
D000995:Antitubercular Agents