Presentation
Leucocytes in urine were present in 49 (84.5%) patients, and in prostatic secretion in 45 (77.6%) patients. Erythrocytes in urine were present in 31 (53.4%) patients, and in prostatic secretions in 17 (29.3%) patients. [ncbi.nlm.nih.gov]
TB epididymo-orchitis present as difusely enlarged lesions, which may be homogeneous or heterogeneous and can also present as nodular enlarged heterogeneously hypoechoic lesions [ 20 ]. [omicsonline.org]
The usual presentations include infertility, pelvic pain, poor general health and menstrual disturbance. [pathologylearningcentre.uct.ac.za]
Entire Body System
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Perineal Pain
Half of the patients with prostate tuberculosis complained of dysuria, 23 (39.6%) had perineal pain, 34 (58.6%) had flank pain. Leucocytes in urine were present in 49 (84.5%) patients, and in prostatic secretion in 45 (77.6%) patients. [ncbi.nlm.nih.gov]
Of men with prostatic TB, 50% have dysuria and 40% have perineal pain. Sterile urethral discharge and terminal hematuria may herald TB prostatitis. Perineal pain, swelling, and drainage can account for a less common but more overt presentation. [emedicine.medscape.com]
Gastrointestinal
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Abdominal Tenderness
Melena, rectal bleeding, and abdominal tenderness also can be present. A mass in the right lower quadrant is palpable in 25 to 50 percent of patients. The ileocecal area and jejunoileum are the most common sites of involvement. [aafp.org]
Physical signs in genital tuberculosis Normal Abdominal mass Pelvic mass Adnexal mass Abdominal tenderness Pelvic/adnexal tenderness Ascites Excessive vaginal discharge Ulcer in the vulva, vagina, and cervix Enlarged uterus with pyometra Fistula Sutherland [glowm.com]
Skin
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Subcutaneous Nodule
Afr Health Sci 12(3):395–397 PubMedCentral PubMed Google Scholar Baskin LS, Mee S (1989) Tuberculosis of the penis presenting as a subcutaneous nodule. [link.springer.com]
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Skin Lesion
lesions caused by direct inoculation of bacillus into skin (occasionally by haematogenous spread); cutaneous TB often affects foot skin; symptoms (e.g. patches of dry, atrophic skin, pigmentation changes, nodules and verrucous plaques) develop slowly [medical-dictionary.thefreedictionary.com]
Urogenital
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Dysuria
Half of the patients with prostate tuberculosis complained of dysuria, 23 (39.6%) had perineal pain, 34 (58.6%) had flank pain. Leucocytes in urine were present in 49 (84.5%) patients, and in prostatic secretion in 45 (77.6%) patients. [ncbi.nlm.nih.gov]
Many other conditions, including a run-of-the-mill urinary tract infection, can cause dysuria, so this symptom is not helpful in diagnosing urinary TB. Hematuria means blood in the urine. [livestrong.com]
He was placed on isoniazid, rifampin, pyrazinamide, and ethambutol, as well as highly active antiretroviral therapy, with improvement of his dysuria and fevers. [sti.bmj.com]
It may present with symptoms such as, dysuria, frequency, hematuria, and hemospermia. Digital rectal examination (DRE) may reveal firm, irregular enlargement, nodularity, or soft areas of necrosis. The nodularity of prostate may mimic. [omicsonline.org]
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Scrotal Mass
The usual presentation is a scrotal mass (initially unilateral but eventually bilateral in about a third of cases) which may be accompanied by draining skin sinuses. [pathologylearningcentre.uct.ac.za]
Tuberculous epididymo-orchitis should be considered in the patients who present with a scrotal mass. The preoperative differentiation of tuberculous epididymoorchitis from non-tuberculous epididymo-orchitis and testicular tumor is difficult. [link.springer.com]
Anorchia (Medical Encyclopedia) Hydrocele (Medical Encyclopedia) Hydrocele repair (Medical Encyclopedia) Hypogonadotropic hypogonadism (Medical Encyclopedia) Orchitis (Medical Encyclopedia) Scrotal masses (Medical Encyclopedia) Testicle lump (Medical [icdlist.com]
Acute infection presents as painful scrotal mass, which initially cannot be distinguished clinically from epididymo-orchitis. [omicsonline.org]
Eighty percent of patients with tubercular epididymo-orchitis present with a scrotal mass, which can be painful in 40–44% ( 26, 27 ). [tau.amegroups.com]
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Testicular Swelling
A 51-year-old man presented with painless left testicular swelling for 1 month, with fevers, chills, night sweats, weight loss, and increased difficulty voiding over 6 months. [ncbi.nlm.nih.gov]
Sometimes, it can be difficult to differentiate TB orchitis and the testicular swelling from other mass lesions of the testes [ 12 ]. [omicsonline.org]
We want to convey the message that in the atypical symptoms and/or signs of patients presenting with testicular swelling and pubic pain, TB should be considered as a possible diagnosis. REFERENCES Christensen WI. [e-jer.org]
Patients with GUTB may also present with a painful testicular swelling, perianal sinus, or genital ulcer. [emedicine.medscape.com]
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Prostatic Disease
Diseases - Sexually Transmitted Diseases - Spermatic Cord Torsion - Spermatocele - Testicular Diseases - Varicocele Broader term(s) : - Male Urogenital Diseases Browse - New search Medical image(s) for "Genital Diseases, Male" No results for this term [hon.ch]
Transrectal US finding of prostatic disease is irregular hypoechoic lesions in the peripheral zone [ 22 ]. [omicsonline.org]
Decreased semen volume may indicate extensive prostatic disease or ejaculatory duct obstruction. [4] Genital and urethral TB Urethral TB is secondary to genital TB. [emedicine.medscape.com]
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Secondary Amenorrhea
Female genital tuberculosis is an important cause of secondary amenorrhea and infertility in developing countries where tuberculosis is endemic. [laparoscopyhospital.com]
There were 8 cases of secondary amenorrhea (6.6%) and 1 case was of primary amenorrhea. 58 They stated that the genital TB was a disease of varied symptomatology. [glowm.com]
Workup
It mainly affects women during the childbearing period and is often detected incidentally during a workup for infertility. What are the early symptoms of genital TB? Genital TB can be notoriously difficult to detect in the early stages. [mapsofindia.com]
Female genital TB is typically understood as a disease of young women, with 80% to 90% of cases diagnosed in patients 20–40 years old, often during workup for infertility. 5 More recent reports from Sweden and Scotland suggest a trend toward presentation [glowm.com]
In addition, perform a full workup for malignancies if tubercles or ulcers are present away from ureteric orifices, if genital ulcers are present, or with suspicious renal lesions. [emedicine.medscape.com]
All patients presenting for infertility evaluation must be thoroughly examined, but if there are no features suggestive of genital Tb, extensive laboratory workup in form of semen and EPS smear, culture and PCR is probably not required ( 53 ). [tau.amegroups.com]
Other Pathologies
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Lymphocytic Infiltrate
A much more florid picture of numerous granulomata with dense lymphocyte infiltrate in the surrounding stroma is seen in this photomicrograph. ( 100.) [glowm.com]
Treatment
AMBROSE J KING 435 Microscopic pathology 443 N Treatment and result of treatment of the tuberculous ureter 193 Parasitic Infections of the Genitourinary Tract By R CAMPBELL BEGG With 21 figures 222 B Animal parasites 228 Metazoa 236 History and distribution [books.google.de]
Although some diagnostic and therapeutic indications for surgical excision still exist, the preferred approach to treatment is primarily multiple-drug antituberculous chemotherapy. [ncbi.nlm.nih.gov]
As with the first edition, it is hoped that this text will continue to represent a definitive resource for both the basic scientist and the clinician who deal with the prevention and treatment of mycobacterial infection. [books.google.com]
Prognosis
Inhalt Clinical characteristics of lesions affecting the genitourinary system 317 E The treatment of syphilis 339 F The prognosis of syphilis 366 References 378 Lymphogranuloma venereum By AMBROSE J KING 391 Diagnostic tests 404 Granuloma inguinale By [books.google.de]
Scientific articles from MEDLINE for "Genital Diseases, Male" - English - French - German - Spanish - Portuguese - Italian - Dutch All recent articles Therapy: by recall / by precision Diagnosis: by recall / by precision Etiology: by recall / by precision Prognosis [hon.ch]
Tubal surgery has a poor prognosis. [glowm.com]
It should be borne in mind that tuberculous prostatitis is not the only inflammatory granulomatous disease that affects the prostate. [13] The presentation of prostatic TB usually presents with a good prognosis, however, cause significant morbidity in [jmedsoc.org]
Natural history, treatment and prognosis. Cancer — CrossRef PubMed Scully RE, Bonfiglio TA, Kurman RJ et Varizen vulvitis. [medica-bavaria.pl]
Etiology
Discussion Women with menstrual abnormalities and infertility are almost always evaluated for possible tubercular etiology. Otherwise in gynaecological practice this etiology is rarely thought of. [ispub.com]
by recall / by precision Prognosis: by recall / by precision Subheadings: complications / diagnosis / embryology / epidemiology / etiology / metabolism / microbiology / surgery / therapy Browse - New search Clinical Trials for "Genital Diseases, Male [hon.ch]
Genital tuberculosis is one of the major etiologic factors of female tubal infertility, especially on the Indian subcontinent. [laparoscopyhospital.com]
Etiology of Urogenital Tuberculosis Causative agent of tuberculosis: Mycobacterium tuberculosis is a 1–2 microns long immobile bacillus. Other features include: acid-resistant, intracellular persistence in phagocytes, doubling time 20 hours. [urology-textbook.com]
Etiology and management of genitourinary tuberculosis. Nat Rev Urol 2011;8:678-88. [ Crossref ] [ PubMed ] Figueiredo AA, Lucon AM. Urogenital Tuberculosis: Update and review of 8961 cases from world literature. [tau.amegroups.com]
Epidemiology
Abstract To study the epidemiology and the clinical picture of male genital tuberculosis in Siberia, Russia. [ncbi.nlm.nih.gov]
There are many important changes incorporated into this edition, including the dramatic effect of AIDS on the incidence and clinical mani festations of mycobacterial infection, new developments in epidemiology and bacteriology, and thoroughly updated [books.google.com]
Figueiredo AA, Lucon AM, Junior RF, Srougi M (2008) Epidemiology of urogenital tuberculosis worldwide.Int J Urol 15: 827-832. [omicsonline.org]
Consult HON's world-wide database of medical meetings Browse - New search Refine the search for "Genital Diseases, Male" Subheadings: complications / diagnosis / embryology / epidemiology / etiology / metabolism / microbiology / surgery / therapy Broader [hon.ch]
Global Tuberculosis Con- trol 2009 - Epidemiology, Strategy, Financing. . who.int/tb/publications/global_report/2009/en/index.html (Accessed April, 2013). Ghosh K, Ghosh K, Chowdhury JR. Tuberculosis and female reproductive health. [dergipark.ulakbim.gov.tr]
Pathophysiology
Risk factors for active tuberculosis: Immigrants Alcoholism Old age AIDS Diabetes mellitus Steroid therapy Intravenous drug abuse Smoking Lung diseases: Silicosis, COPD Malnutrition Malignant diseases Gastric resection Crowding, e.g. prisons Pathophysiology [urology-textbook.com]
Prevention
Can Be Treated (Centers for Disease Control and Prevention) Tuberculosis Facts - Testing for TB (Centers for Disease Control and Prevention) Tuberculosis Facts - You Can Prevent TB (Centers for Disease Control and Prevention) Tuberculosis: General Information [icdlist.com]
As with the first edition, it is hoped that this text will continue to represent a definitive resource for both the basic scientist and the clinician who deal with the prevention and treatment of mycobacterial infection. [books.google.com]
Another common myth is that TB cannot be prevented or treated; TB is definitely curable provided it gets diagnosed at a considerably early stage. [asterhospital.com]
The patient is likely to be offered treatment to prevent progression to TB disease. This in turn can prevent the spread of TB to others. [nationwidepathology.co.uk]