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Tuberculous azoospermia - a case report
Journal of the West African College of Surgeons
|December 3, 2014
Summary
Genital tuberculosis can occur years after pulmonary tuberculosis in immunocompetent men. Early diagnosis via testicular biopsy and prompt anti-tuberculosis treatment are crucial for a good outcome, though infertility may persist.
Area of Science:
- Urology
- Infectious Diseases
- Public Health
Background:
- Genital tuberculosis is a rare but significant cause of infertility.
- Delayed diagnosis can lead to irreversible damage and persistent azoospermia.
Purpose of the Study:
- To highlight the continued prevalence of genital tuberculosis.
- To emphasize the importance of high clinical suspicion and timely treatment.
Main Methods:
- Case report of a 54-year-old immunocompetent male.
- Diagnosis confirmed by testicular biopsy for infertility.
- Treatment with standard anti-tuberculosis therapy.
Main Results:
- Successful treatment of epididymo-testicular tuberculosis.
- Persistent azoospermia despite effective therapy.
- Patient had a history of pulmonary tuberculosis 13 years prior.
Conclusions:
- Genital tuberculosis remains a relevant clinical entity in the sub-region.
- A high index of suspicion is necessary for early detection.
- Effective anti-tuberculosis therapy is key to achieving favorable outcomes.
