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Extensive Primary Male Genital Tuberculosis
Genital tuberculosis (GTB) is uncommon, and the most common genital sites of tuberculous infection are epididymis and prostate; isolated testicular TB is extremely rare, comprising only 3% of GTB. The usual modes of genital involvement include descending infection from the kidneys, intracanalicular...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764231/ https://www.ncbi.nlm.nih.gov/pubmed/31576086 http://dx.doi.org/10.4103/jhrs.JHRS_3_19 |
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author | Ravikanth, Reddy Kamalasekar, Kanagasabai Patel, Nishchil |
author_facet | Ravikanth, Reddy Kamalasekar, Kanagasabai Patel, Nishchil |
author_sort | Ravikanth, Reddy |
collection | PubMed |
description | Genital tuberculosis (GTB) is uncommon, and the most common genital sites of tuberculous infection are epididymis and prostate; isolated testicular TB is extremely rare, comprising only 3% of GTB. The usual modes of genital involvement include descending infection from the kidneys, intracanalicular or direct extension from neighboring foci in the genital tract, and hematogenous dissemination. Ultrasonography (USG) and USG-guided fine-needle aspiration cytology of testicular swelling may confirm the diagnosis of GTB. Anti-TB chemotherapy is the mainstay of treatment to ensure the complete resolution of the lesion. Infertility in GTB is a result of obstruction at the terminal portion of the ejaculatory duct, resulting in dilatation of the proximal ductal system including the vas deferens preventing seminal vesicle secretions from reaching the ejaculate. Seminal vesicle secretions make up the bulk of the ejaculate, contain fructose, and alkalinize the ejaculate, and with obstruction, patients present with azoospermia or aspermia. Here, we present a rare case of extensive primary GTB in a 36-year-old male. |
format | Online Article Text |
id | pubmed-6764231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-67642312019-10-01 Extensive Primary Male Genital Tuberculosis Ravikanth, Reddy Kamalasekar, Kanagasabai Patel, Nishchil J Hum Reprod Sci Case Report Genital tuberculosis (GTB) is uncommon, and the most common genital sites of tuberculous infection are epididymis and prostate; isolated testicular TB is extremely rare, comprising only 3% of GTB. The usual modes of genital involvement include descending infection from the kidneys, intracanalicular or direct extension from neighboring foci in the genital tract, and hematogenous dissemination. Ultrasonography (USG) and USG-guided fine-needle aspiration cytology of testicular swelling may confirm the diagnosis of GTB. Anti-TB chemotherapy is the mainstay of treatment to ensure the complete resolution of the lesion. Infertility in GTB is a result of obstruction at the terminal portion of the ejaculatory duct, resulting in dilatation of the proximal ductal system including the vas deferens preventing seminal vesicle secretions from reaching the ejaculate. Seminal vesicle secretions make up the bulk of the ejaculate, contain fructose, and alkalinize the ejaculate, and with obstruction, patients present with azoospermia or aspermia. Here, we present a rare case of extensive primary GTB in a 36-year-old male. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6764231/ /pubmed/31576086 http://dx.doi.org/10.4103/jhrs.JHRS_3_19 Text en Copyright: © 2019 Journal of Human Reproductive Sciences http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Ravikanth, Reddy Kamalasekar, Kanagasabai Patel, Nishchil Extensive Primary Male Genital Tuberculosis |
title | Extensive Primary Male Genital Tuberculosis |
title_full | Extensive Primary Male Genital Tuberculosis |
title_fullStr | Extensive Primary Male Genital Tuberculosis |
title_full_unstemmed | Extensive Primary Male Genital Tuberculosis |
title_short | Extensive Primary Male Genital Tuberculosis |
title_sort | extensive primary male genital tuberculosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764231/ https://www.ncbi.nlm.nih.gov/pubmed/31576086 http://dx.doi.org/10.4103/jhrs.JHRS_3_19 |
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