1.Diagnosis and treatment of tuberculosis in the male genital system.
Zhoujun SHEN ; Hua WANG ; Shanwen CHEN ; Shifang SHI ; Zhaodian CHEN ; Kexiang WEI ; Zhigen ZHANG ; Xuanwen ZHU ; Songliang CAI
National Journal of Andrology 2004;10(5):376-381
OBJECTIVETo probe into and improve the diagnosis and treatment of tuberculosis (TB) in the male genital system.
METHODSFifteen patients with the male genital system TB established by microbiological and pathological examinations were retrospectively reviewed.
RESULTSThe male genital system TB was diagnosed by history, physical examination, semen analysis, TB culture and biopsy. Treatment consisted of antituberculous chemotherapy for all the patients before and/or after operation, including 5 cases of epididymectomy and 6 cases of orchi-epididymectomy.
CONCLUSIONThe male genital system TB tends to be atypical and semen polymerase chain reaction of TB (TB-PCR) may provide a new specific means for diagnosis in case of clinical suspicion. Surgical approaches should be cautiously adopted, especially for young patients.
Adult ; Aged ; Antitubercular Agents ; therapeutic use ; Humans ; Male ; Middle Aged ; Polymerase Chain Reaction ; Retrospective Studies ; Tuberculosis, Male Genital ; diagnosis ; therapy