American Urological Association - Tuberculous Epididymo-Orchitis
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Tuberculous Epididymo-Orchitis

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  • Usually associated with GU involvement elsewhere, especially prostate (which in turn stems from renal involvement).
  • In the pediatric population, testicular TB is usually a reflection of hematogenous spread from a pulmonary lesion.
  • Adults more commonly affected (75% >35 years of age).
  • Symptoms include scrotal pain and enlargement with or without constitutional symptoms (fever, night sweats, etc.).
  • Histology:
    • Caseating and noncaseating granulomas (image A) & (image B).
    • Confirm by presence of acid fast bacilli.