Volume 77, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


Twenty-nine adults (mean age, 59.9 ± 13.5 years) with scrotal tuberculosis (TB) were retrospectively analyzed. The mean interval from emergence of symptoms suggestive of scrotal TB to diagnosis established was 142.44 ± 227.66 days. Scrotal TB was initially suspected in only five (17.2%) patients, and infection caused by bacteria other than (55.2%) was the leading presumptive diagnosis. Of 28 patients with chest radiographs available, 7 (25%) disclosed active pulmonary TB, and 9 (32.1%) showed a TB scar. All patients received anti-TB chemotherapy; 20 (69%) additionally underwent surgery. Pathologic examination of resected tissue at therapeutic surgery, biopsy, or polymerase chain reaction assay of urine led to rapid diagnosis of scrotal TB. Although evidence of scrotal TB was easily obtainable, the lack of alertness made clinicians avert from the appropriate diagnostic approaches and rendered a delayed diagnosis. Our report underscores the urgent need for improving clinicians’ awareness of scrotal TB.


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  • Received : 03 Mar 2007
  • Accepted : 18 Jun 2007

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