Mistakes in the diagnosis of tuberculous orchiepididymitis.

Introduction. Everywhere there is a weighting of the structure urogenital tuberculosis. Tuberculosis testis and its epididymis difficult to diagnose because it does not have pathognomonic symptoms; diagnosis cannot be verified microbiologically in study ejaculate or prostate secretion, however, possible detect pathogen biopsy specimens surgical material. Materials methods. Search results were analyzed scientific databases eLibrary, PubMed, Web Science, Embase, Cochrane Library PEDro, Wang-fang Cnki, Edline for queries «urogenital tuberculosis», «tuberculosis male genital organs», testicles», epididymis», «tuberculous epididymitis», orchiepididymitis», «diagnosis». Results. An isolated lesion scrotum observed with testicular neoplasms, bacterial epididymo-orchitis, genitourinary sarcoidosis, inguinal-scrotal hernia, hydrocele. Since oncological diseases cause greatest concern, misinterpretation clinical laboratory data neglect epidemic history can lead an erroneous unnecessary orchiectomy. At best, patient initially diagnosed epididymo-orchitis given antibiotic therapy. same time, wrong choice subsequently make impossible identify distort pathomorphological picture. Description case. The article presents case incorrect tactics treatment tuberculous epididymitis, erroneously as «epididymal cyst». Neglect microbiological led formation fistulous form orchiepididymitis. Conclusions. orchiepididymitis difficult. With help radiation diagnostic methods, tuberculosis testicle apidymis suspected; confirm diagnosis, identification presence specific pathological signs required. High vigilance required when examining complaints enlargement tenderness scrotum.