Tuberculous Orchitis in Patients Who Have Undergone Radical Orchiectomy for a Testicular Mass

Tuberculous Orchitis in Patients Who Have Undergone Radical Orchiectomy for a Testicular Mass
PropertyValue
Title:Tuberculous Orchitis in Patients Who Have Undergone Radical Orchiectomy for a Testicular Mass
Author/Abstract:

Patrick H. Tuliao, MD and Marie Carmela M. Lapitan, MD

Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines Manila 

Objective: This study aimed to determine clinical characteristics that are associated with tuberculousorchitis in patients who present with a testicular mass.Materials and

Methods: This is an analytic retrospective cohort study of patients who underwentradical orchiectomy for a possible testicular malignancy based on a testicular mass from 2005 to2009. The following data were derived from a review of the patients' charts: patient age, laterality ofthe disease, duration of symptoms, concomitant extra-testicular tuberculosis (TB), pre-operativeanti-TB treatment received, pertinent pre-operative physical findings, pertinent diagnostics donepre-operatively, and intra-operative findings.

Results: The prevalence of testicular tuberculosis in persons who underwent radical orchiectomy fora scrotal mass is 31.8%. TB orchitis occurs more often in younger patients, those who have hadtuberculosis in the past, or have received treatment, those with larger testicular masses, those withscrotal skin sinus and tenderness or swelling, tunica vaginalis invasion, scrotal skin invasion, andepididymal enlargement, and those with cheesy substance noted in intraoperative findings. Therewere no significant differences between testicular tuberculosis and testicular tumor in terms ofultrasound findings.

Conclusion: Testicular tuberculosis is prevalent among patients who underwent radical orchiectomydue to a scrotal mass. Several clinical characteristics preoperatively and intraoperatively may predictTB orchitis in these patients.

Key words: tuberculous orchitis, testicular mass

Filesize: 87.91 kB
Filetype:pdf (Mime Type: application/pdf)