TUBERCULOUS EPIDIDYMITIS – A CLINICAL CHALLENGE

The incidence of extrapulmonary tuberculosis is growing, and it is estimated that up to 25% of all cases may be extrapulmonary infections, while the reports of genitourinary sites of this infection remain scarce, in special with the epididymis involvement. Bilateral epididymal tuberculosis is an exceeding rare cause of infertility in young, and the GeneXpert MTB/RIF test is considered a useful tool to the diagnosis confirmation. The major routes for scrotal tuberculosis are retrograde extensions from the infections in the prostate or seminal vesicles, and pelvic hematogenous or lymphatic disseminations. Aiming to emphasize the case study of isolated epididymal tuberculosis recently published in this Journal, short additional comments on literature data are presented