Yu-Hung Lai Allen, Lu Shing-Hwa, Yu Hong-Jen, Kuo Yuh-Chen, Huang Chao-Yuan
Department of Surgery, Division of Urology, Taipei City Hospital, Taipei, Taiwan.
Urology. 2009 May;73(5):1163.e5-7. doi: 10.1016/j.urology.2008.04.015. Epub 2008 Jul 10.
Genitourinary tract tuberculosis is a specific chronic granulomatous infection. However, epididymal tuberculosis presented as a huge scrotal mass is uncommon. We report one case of epididymal tuberculosis that was noted 5 months after the prostate biopsy and was managed with unilateral simple epidymo-orchiectomy. Antituberculous drugs have been given as the medical treatment of tuberculosis postoperatively. Urinalysis became normalized and the scrotal ultrasonography showed normal left epididymis and testicle at 6-month follow up.
泌尿生殖道结核是一种特殊的慢性肉芽肿性感染。然而,以巨大阴囊肿块形式出现的附睾结核并不常见。我们报告一例在前列腺活检后5个月被发现的附睾结核病例,该病例通过单侧单纯附睾-睾丸切除术进行治疗。术后已给予抗结核药物作为结核病的药物治疗。在6个月的随访中,尿液分析恢复正常,阴囊超声检查显示左侧附睾和睾丸正常。