Male genital tract tuberculosis: A comprehensive review of imaging findings and differential diagnosis

Ramachandran, Ambady; Das, Chandan Jyoti; Razik, Abdul

doi:10.1007/s00261-020-02811-0

Cited by 21 publications

(41 citation statements)

References 35 publications

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“…The possible modes of genital tract involvement includes reactivation of the latent bacilli, descending infection from the urinary tract, blood-borne infection without urinary tract involvement, lymphatic spread, complication of intravesical bacille Calmette-Guérin (BCG) therapy for the treatment of transitional cell carcinoma of the bladder [3]. The first genital organ most commonly affected is the epididymis [20]. Epididymo-testicular TB usually results from a hematogenous, canalicular spread, lymphatic route, or descent from the kidney [21].…”

Section: N Pathogenesismentioning

confidence: 99%

“…Although in the past, bilateral involvement was the rule, Gow et al showed that this is no longer the case today and involves epididymis of one side [23]. Testicular involvement frequently results from contiguous spread through the epididymis [20]. Given the existence of a blood testes barrier, hematogenous spread is extremely rare [20].…”

Section: N Pathogenesismentioning

confidence: 99%

“…Testicular involvement frequently results from contiguous spread through the epididymis [20]. Given the existence of a blood testes barrier, hematogenous spread is extremely rare [20]. However, hematogenous spread is more common than spread from urinary tract in prostate TB [3].…”

Section: N Pathogenesismentioning

confidence: 99%

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Why do we miss isolated male genital tuberculosis diagnosis?

Retal

Kharbach²,

Khallouk³

2022

infez med

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cause confusion as the infection does not always occur simultaneously. There are currently quite a lot of difficulties that clinicians encounter when facing a possible case of isolated MGTB because of its varied presentations and unavailability of sensitive and specific investigations. Thus, TB of male genital tract still presents a diagnostic dilemma. The aim of this review is to highlight the pathophysiology, clinical features, diagnostic challenges of tuberculosis affecting only the male genital tract and to improve awareness of MGTB in the differential diagnosis. This review also shows the variability and nonexistence of uniform consensus for this presentation. n MATERIALS AND METHODSAn electronic search was carried out at PubMed, MEDLINE, Scopus, Embase, and Google scholar to realize this narrative review. The search was

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Section: N Pathogenesismentioning

confidence: 99%

Section: N Pathogenesismentioning

confidence: 99%

See 1 more Smart Citation

Why do we miss isolated male genital tuberculosis diagnosis?

Retal

Kharbach²,

Khallouk³

2022

infez med

View full text Add to dashboard Cite

show abstract

“… 2 Prognosis of genitourinary lesions is poor, as they often lead to persistent lower urinary tract symptoms and renal failure. 1 , 3 , 4 Damage is often irreversible, but reconstructive surgery may mitigate persistent symptoms. 1 …”

mentioning

confidence: 99%

Delayed diagnosis of urinary tuberculosis

Dhersin

Bazeries

Chenouard

et al. 2022

CMAJ

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“…La référence standard pour le diagnostic est la culture mycobactérienne de prélèvements d’urine, mais l’organisme étudié peut prendre des semaines à croître; les tests de RCP peuvent offrir un diagnostic plus rapide, avec une sensibilité de 89 % et une spécificité de 95 % 2 . Le pronostic de lésions génito-urinaires n’est pas bon, car elles mènent souvent à des symptômes persistants aux voies urinaires inférieures ainsi qu’à de l’insuffisance rénale 1 , 3 , 4 . Les dommages sont souvent irréversibles, mais la chirurgie reconstructive peut atténuer les symptômes persistants 1 .…”

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