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KMID : 0358319920330040693
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Korean Journal of Urology
1992 Volume.33 No. 4 p.693 ~ p.697
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Clinical Observation of 30 Cases Who Underwent Epididymectomy: Especially, on the Cases of Tuberculous Epididymitis
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유형상
임평환/김우일/윤상민/김주홍
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Abstract
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A clinical investigation was undertaken on 30 patients who underwent epididymectomy during the period from April 1986 to November 1991. In this study, clinical reasons of epididymectomy were as follows: First, for confirming of tuberculous
epididymitis
(19 cases). Second, for treatment of chronic epididymitis (8 cases). Third, for treatment of acute epididymitis (2 cases). Pathohistologic findings were tuberculous epididymitis (15 cases), chronic epididymitis (9 cases), sperm granuloma(3
cases),
cystadenoma(2 cases), spermatocele (1 cases). The highest occurrence was observed in the age groups of 20 to 39(60%) in tuberculous epididymitis, 30 to 49(66.6%) in chronic epididymitis. Tuberculosus epididymitis was presented clinically
non-tenderful
epididymal nodule 66%, tenderful epididymal nodule 33%, scrotal fistula 20%, Chronic epididymitis was tenderful epididymal nodule 80%, scrotal swelling 26.6%. In urine examination, tuberculous epididymitis was observed on pyuria 40%, hematuria
13%,
and
tubercle bacilli 1 case. Chronic epididymitis was pyuria 37.5%, urine culture(E. coli 10E5/ml) 35%. Tuberculous epididymitis corresponds to 26% of total male patients with genitourinary tuberculosis. The lateralization showed 46% in the left, 33%
in
both side 20% in the right. The most common affected rigion of epididymis was diffuse (40%), followed by tail 33%, head 26%. Associated tuberculous lesions, lung 25%, kidney 13%, vas 33.3%, testis 20%.
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KEYWORD
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