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Tuberculous epididymitis is a rare urological disease difficult to diagnose.The conventional methods for diagnosis areoften time-consuming and invasive.The combined use of scrotal magnetic resonance imaging(MRI)and urinarypolymerase chain reaction(PCR)-based assay for mycobacterial DNA(the latter because of its high sensitivity andspecificity to demonstrate mycobacterial DNA)is a valuable method for rapid diagnosis of tuberculous epididymitis.We report a 79-year-old man who was admitted with the chief complaints of bilateral scrotal swelling and pain.Thecombined use of scrotal MRI and urinary PCR allowed prompt diagnosis of tuberculous epididymitis and adequateantituberculous therapy.
Tuberculous epididymitis is a rare urological disease difficult to diagnose. The conventional methods for diagnosis are of time-consuming and invasive. The combined use of scrotal magnetic resonance imaging (MRI) and urinarypolymerase chain reaction (PCR) -based assay for mycobacterial DNA because of its high sensitivity andspecificity to demonstrate mycobacterial DNA) is a valuable method for rapid diagnosis of tuberculous epididymia. We report a 79-year-old man who was admitted with the chief complaints of bilateral scrotal swelling and pain .combined use of scrotal MRI and urinary PCR allowed prompt diagnosis of tuberculous epididymesis and adequate antituberculous therapy.