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Isolated testicular tuberculosis: A case report.
Salim Lachkar1, Mamoun Diouri1, Ahmed Ibrahimi1
1Department of Urology A, Ibn Sina University Hospital, Rabat, Morocco.
Urology Case Reports
|November 5, 2024
Summary
Genitourinary tuberculosis (GUTB) is a rare cause of testicular swelling. Early diagnosis and treatment are crucial, but this case highlights potential permanent fertility loss from testicular tuberculosis.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Genitourinary tuberculosis (GUTB) accounts for 20% of extrapulmonary tuberculosis cases.
- Isolated testicular involvement is a rare manifestation, occurring in only 2-4% of GUTB cases.
Observation:
- A 41-year-old male presented with chronic left scrotal swelling, fistulization, and purulent discharge.
- Diagnostic imaging and histopathology confirmed testicular tuberculosis, revealing caseating granulomas and acid-fast bacilli.
Findings:
- The patient underwent high inguinal orchidectomy and received a standard four-drug anti-tuberculosis regimen.
- Postoperative semen analysis showed persistent azoospermia, indicating permanent fertility impairment.
Implications:
- This case highlights the importance of considering GUTB in the differential diagnosis of testicular masses.
- Early recognition and treatment are vital, but permanent fertility impairment remains a significant concern in testicular tuberculosis.
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