Tuberculous Epididymo‐orchitis: Clinical and Ultrasound Observations

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Abstract
Summary— The clinical, radiological and ultrasound features of 3 patients presenting with tuberculous epididymo‐orchitis are described and the relevant literature reviewed. Scrotal swelling, pain and sinuses are common features at presentation. The presence of a sterile pyuria is a useful sign, but intravenous urography may fail to identify active renal disease. Ultrasound examination revealed testicular involvement in 2 patients. Differentiation from tumour may not be possible, but the presence of epididymal involvement strongly suggests an infective cause. Early surgical biopsy may prove helpful if acid‐fast bacilli are not initially identified in early morning urine samples.