journal of medical science and clinical research | 2019
Study on incidence of testicular tuberculosis in cases of epididymo-orchitis
Abstract
Objective: This study was performed to determine incidence of testicular tuberculosis in cases of epididymo-orchitis. Methodology: Retrospective observational study was carried out at our institute in 500 cases of epididymoorchitis. All cases were initially managed with antibiotics and anti inflammatory drugs. Patient in which orchidectomy is done, testis were sent for histopathological evaluation. Results: Of 500 cases, 0.8% of the cases were confirmed with the diagnosis of testicular tuberculosis. Out of 143 cases that underwent Orchidectomy, 2.7% of cases were having testicular tuberculosis. Conclusion: It is important to keep in mind that testicular tuberculosis is a possible differential, while diagnosing cases of scrotal swellings and in cases of epididymo-orchitis. A negative history of Pulmonary TB does not necessarily exclude the diagnoses of testicular TB. Introduction Tuberculosis is one of the most baffling diseases known to mankind. India is known region for its occurrence. Mycobacterium tuberculosis infects about one third of the world population and kills about three million patients each year. (1) About 70% of the cases are of pulmonary etiology, but one of the rare forms of Tuberculosis TB) is testicular tuberculosis. It presents as a painful or painless testicular swelling with or without scrotal ulceration or discharging sinus. Dissemination of TB to the testis may result in secondary infection of epididymis. In many of these cases, association with Tuberculus prostatitis and seminal vesiculitis is seen. Most commonly the epididymis is involved, and it is believed that epididymitis usually represents a secondary spread from these other involvements of the genital tract. (2,3) Infertility is known to occur in these cases. Materials and Methods Retrospective observational study was carried out at our institute in 500 cases of epididymo-orchitis. Patients presented with complaint of scrotal swelling with minimal or no history of pain, with or without fever and dysuria are included in this study. None of the patients had any previous history of pulmonary tuberculosis. All cases were initially managed with antibiotics and anti inflammatory drugs. Patient in which orchidectomy is done, testis were sent for histopathological evaluation. Results Out of 500 cases of epididymo-orchitis, 357 cases resolved with conservative regimen. Remaining 143 cases were underwent orchidectomy. Out of the 143 cases, which were sent for histopathological evaluation, 4 cases showed multiple granulomas composed of epitheloid cells, http://jmscr.igmpublication.org/home/ ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v7i9.75