title: Epididymal tuberculosis: case report and review of the literature.
abstract: The incidence of tuberculosis (TB) is increasing worldwide, with more than 20% of cases exhibiting extrapulmonary manifestations. The genitourinary tract is the most common site of extrapulmonary TB. Epididymal TB, although rare, may be the initial location of infection and may cause infertility. The diagnosis depends on culture of the organism but has been facilitated by the development of urine polymerase chain reaction analysis. Treatment for TB remains the combination of three or four anti-TB drugs for 6 to 9 months. Genitourinary TB remains relatively rare in the United States and requires a high index of suspicion to make the diagnosis.
authors.affiliation: Department of Urology, University of Rochester School of Medicine, Rochester, New York, USA. ralph_madeb@urmc.rochester.edu
authors.forename: Ralph
authors.initials: R
authors.lastname: Madeb
authors.forename: Jonah
authors.initials: J
authors.lastname: Marshall
authors.forename: Ofer
authors.initials: O
authors.lastname: Nativ
authors.forename: Erdal
authors.initials: E
authors.lastname: Erturk
mesh_terms: D004822:Epididymis; D006801:Humans; D008297:Male; D008875:Middle Aged; D013733:Testicular Diseases / Q000175:diagnosis*; D014389:Tuberculosis, Male Genital / Q000175:diagnosis*