INFERTILITY AS THE FIRST SYMPTOM OF MALE GENITOURINARY TUBERCULOSIS

The diagnosis of male genitourinary tuberculosis is seldom apparent un til the disease is far advanced. The earliest clinical symptoms in mos t cases are epididymitis, dysuria, and hematuria. In the present case, evaluation of a 26-year-old male complaining about primary infertilit y revealed leukocytospermia and a normal sperm count. The diagnosis of genitourinary tuberculosis was based on positive morning urine cultur e, Infertility is an uncommon first sign of male genitourinary tubercu losis, but may be a clue to early diagnosis, as demonstrated in the pr esent case.