Objective: To probe into and improve the diagnosis and treatment of tuberculosis (TB) in the male genital system.
Methods: Fifteen patients with the male genital system TB established by microbiological and pathological examinations were retrospectively reviewed.
Results: The male genital system TB was diagnosed by history, physical examination, semen analysis, TB culture and biopsy. Treatment consisted of antituberculous chemotherapy for all the patients before and/or after operation, including 5 cases of epididymectomy and 6 cases of orchi-epididymectomy.
Conclusion: The male genital system TB tends to be atypical and semen polymerase chain reaction of TB (TB-PCR) may provide a new specific means for diagnosis in case of clinical suspicion. Surgical approaches should be cautiously adopted, especially for young patients.