An unusual case of genito-urinary tuberculosis. Case report

We represent and discuss etiology, diagnosis as well as differential diagno ses of tuberculous orchtitis referring to an actual case of this rare disea se. In the least of all cases one can conclude from the clinical symptoms o n the tuberculous origin of the disease. Other differential diagnoses will set more frequently due to rarity of this disease. Quite a lot of cases a b acterial superinfection veils the sterile leucocyturia as main characterist ic of genitourinary tuberculosis. Imaging diagnostics frequently fails to g ive indications of tuberculous origin of the lesion. As before the evidence of Mycobacteria tuberculosis is the most important parameter to proof a tu berculosis. Despite required microbiological cultivation to make a resistog ram the polymerase chain reaction is a high sensitive and comparable fast m ethod for detection of Mycobacteria even from tissue. In such dubious cases we recommend to perform an operative denudation due to frequently difficul t delimitation from malignant testicular rumours.