Gueye S M, Ba M, Sylla C, Ndoye A, Fall A, Diaw J, Mensah A
Clinique Urologique, CHU Aristide Le Dantec.
Dakar Med. 1996;41(1):55-8.
The morbidity of tuberculous epididymitis is due to the risk of male infertility secondary to vasal or epididymal obstruction or testicular necrosis. The aim of this study was to emphasize the epidemiological, clinical and therapeutical aspects of tuberculous epididymitis in adult. About eleven cases of epididymal localisation of urogenital tuberculosis, it appears that the diagnosis of the condition is rather difficult and often necessitate pathological exam of a specimen of epididymectomy. In other aspects, if antituberculous drugs are always effective in initial stages, surgery is usually radical, and rarely conservative. The latter procedures are vasovasostomy or vasoepididymostomy whose results are very hazardous.
结核性附睾炎的发病率是由于输精管或附睾梗阻或睾丸坏死继发男性不育的风险所致。本研究的目的是强调成人结核性附睾炎的流行病学、临床和治疗方面。关于11例泌尿生殖系统结核的附睾定位病例，似乎该病的诊断相当困难，且常常需要对附睾切除标本进行病理检查。在其他方面，如果抗结核药物在初始阶段总是有效的，手术通常是根治性的，很少是保守性的。后者的手术是输精管吻合术或输精管附睾吻合术，其结果风险很大。
