Sonographic findings in tuberculous epididymo‐orchitis

Türkvatan, Aysel; Kelahmet, Esra; Yazgan, Cisel; Ölçer, Tülay

doi:10.1002/jcu.20035

Cited by 21 publications

(21 citation statements)

References 26 publications

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“…The inflammatory process may propagate to the rest of the epididymis and finally to the ipsilateral testis or may regress and heal with calcifications 6 . Isolated TB orchitis without epididymitis is very rare 3,7,10 . Clinically patients with TB epididymo-orchitis present with a painless or painful scrotal swelling and heavy sensation as principal symptoms 3,10 .Ultrasonography (USG) is the best imaging modality of choice for evaluation of TB of scrotum and scrotal contents.…”

Section: Methodsmentioning

confidence: 99%

“…Isolated TB orchitis without epididymitis is very rare 3,7,10 . Clinically patients with TB epididymo-orchitis present with a painless or painful scrotal swelling and heavy sensation as principal symptoms 3,10 .Ultrasonography (USG) is the best imaging modality of choice for evaluation of TB of scrotum and scrotal contents. In conjunction with USG, Fine needle aspiration cytology (FNAC) has been reported to enhance diagnosis.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

2018

MIJRAD

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Objective: To determine the Ultrasonographic appearances in patients with tuberculous Epididymo-Orchitis and Orchitis and to correlate them with the histopathological findings. Materials and Methods: Total 25patients with 50 hemi scrotums of clinically suspected Epididymo-Orchitis and Orchitis with high suspicion of tubercular aetiology were assessed on ultrasonography. Of these 50 hemi scrotums, 12 scrotums of 8 patients testicular and epididymal tissues cultures were positive for Mycobacterium tuberculosis. Results: The most detected sonographic findings of tuberculous epididymitis were an enlarged epididymis commonly in the tail region, and marked heterogenous echo texture of the involved epididymis. Sonographic findings of testicular involvement consist of an ill defined focal intratesticular hypoechoic area or diffusely enlarged hypoechoic testis or an irregular margin between the testis and epididymis. In our study Unilateral Epididymo-Orchitis is the most common involvement pattern followed by isolated epididymitis, bilateral Epididymo-Orchitis and isolated orchitis respectively. The sonographic appearances in patients with tuberculous epididymitis are seen to be different from those encountered in nontuberculous epididymitis. Conclusion: Adequate evaluation of patients with high suspicion of Tuberculous Epididymo-Orchitis and Orchitis, by means of scrotal ultrasound coupled with fine needle aspiration cytology is critical to diagnostic accuracy and optimal treatment. Ultrasound significantly helpful to the initial assessment and future management of the patient with follow-up scans ensuring positive response to treatment thereby avoiding surgical intervention.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Untitled

2018

MIJRAD

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“…If TB epididymo-orchitis is left untreated, granulomas with caseation can cause fistulas, sinuses or caseous abscesses. Recurrent hematospermia is rare, but should raise suspicion of TB epididymo-orchitis [13]. Also infertility may occur due to epididymal and/or vasal obstruction.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Plain abdominal radiography can sometimes show calcification in affected organs or lymph nodes. US have been traditionally the diagnostic method of choice for investigation of TB epididymo-orchitis [13,20]. Although scrotal US is helpful in the assessment of scrotal tumors, the appearance of epididymal tuberculosis on US is not distinct from that of bacterial epididymo-orchitis.…”

Section: Laboratory and Imagingmentioning

confidence: 99%

Male Genital Tuberculosis

Bozkurt¹

2014

J Mycobac Dis

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Genitourinary system is the most common extrapulmonary site after lymph node involvement affected by tuberculosis (TB). TB can affect whole male genital organs; epididymis, testis, prostate, seminal vesicle, vas deferens, scrotal skin, bulbourethral glands and penis. Although male genital TB (MGTB) is reported rarely in the literature, most of the cases are overlooked. It is not always very easy to diagnose MGTB because there is no pathognomonic sign. Sometimes, it can be difficult to differentiate TB orchitis from testicular cancer. If laboratory and radiological findings are not enough for diagnosis then biopsy and surgical procedures such as epididymoorchiectomy may be required.

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“…Epididymitt er den vanligste manifestasjonen av urogenital tuberkulose (7). Den mest sannsynlige patogenesen er hematogen spredning til en nyre fra et primaerfokus i en lunge.…”

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