TITLE:
Epididymo-Testicular Tuberculosis: A Case Report from Bamako
AUTHORS:
Coulibaly Amara, Mamadou Almamy Keita, Moussa Sissoko, Drissa Kaloga Bagayoko, Cheickna Tounkara, Idrissa Tounkara, Abdoul Karim Simaga, Bakary Coulibaly, Sidiki Konaré, Adama Drabo, Seydou Sissoko, Sekou Koumaré, Abdoulaye Diarra, Keita Soumaila
KEYWORDS:
Tuberculosis, Epididymis, Testicle
JOURNAL NAME:
Surgical Science,
Vol.14 No.3,
March
13,
2023
ABSTRACT: We report a case of epididymo-testicular tuberculosis in a 31-year-old
man in the surgical department “A” at the University Hospital Point G of
Bamako. Epididymitis or orchi-epididymitis
is an infection of the epididymis and/or testis. It is the most frequent reason
for consultation in urology and affects mainly young people between 30 and 50
years of age. Mycobacterium tuberculosis is very rarely incriminated (2% to 3% of cases). The main problem with genital tuberculosis lies in the diagnosis, which is often difficult
and delayed in the absence of other suggestive locations, a notion of contagion
or a history of tuberculosis. In the absence of germs in the urine or semen,
the diagnosis of certainty is based on histological examination of biopsy
fragments of the testicle or epididymis. Delayed treatment results in impaired
fertility, such as oligospermia or azoospermia due to reversible or
irreversible organic damage to the genitalia.