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[Testicular abscess: a manifestation of tuberculosis]

E A Granados Loarca1

  • 1Servicio de Urología, Clínica y Hospital de Especialidades de Occidente, Quetzaltenango, Guatemala.

Actas Urologicas Espanolas
|July 11, 1998
PubMed
Abstract

Insights

Tuberculous epididymo-orchitis is rare, especially without systemic involvement. Early diagnosis is crucial, as scrotal abscesses or fistulas may indicate this infection.

Area of Science:

  • Urology
  • Infectious Diseases
  • Public Health

Background:

  • Tuberculous epididymo-orchitis is an uncommon manifestation of tuberculosis (TB).
  • It often presents without typical signs of pulmonary or renal TB, making diagnosis challenging.

Observation:

  • Three elderly male patients presented with scrotal swelling, pain, and pyocele.
  • Two patients had a history of urological conditions; none had prior pulmonary or renal TB.
  • All cases required scrotal orchiectomy due to delayed presentation.

Findings:

  • Despite absence of renal or pulmonary involvement, TB was confirmed.
  • Urine cultures, excretory urograms, and chest X-rays were normal in all cases.
  • Scrotal abscesses and fistulous tracts were noted in the patients.

Implications:

  • Clinicians should consider tuberculosis in patients presenting with scrotal abscess or fistulous tracts.
  • This highlights the importance of a high index of suspicion for TB in genitourinary presentations.
  • Timely diagnosis and treatment are essential to prevent complications like orchiectomy.

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