42 research outputs found
Open surgery for chyluria
The management of Chyluria is challenging. Various treatment options are available. Among them sclerotherapy has reasonable success but the problem is the recurrence. Surgery is an option in such refractory cases. This article looks at various surgical options and their success
Isolated tuberculous epididymitis: A review of forty cases
Background: Tuberculous epididymitis is one of the causes of chronic epididymal lesions. It is difficult to diagnose in the absence of renal involvement. Aim : To profile isolated tuberculous epididymitis and to assess our approach in the evaluation of this group of patients. Setting and Design : Retrospective study done at Christian Medical College, Vellore, South India. Methods and Materials : Between 1992 and 2002, 156 fine needle aspiration cytology specimens and 108 epididymal biopsies were carried out in 187 men for evaluation of chronic epididymal nodules. Isolated epididymal tuberculosis was defined as "tuberculous infection affecting the epididymis without evidence of renal involvement as documented by the absence of acid fast bacilli in the urine sample and on imaging". The age, laterality, mode of presentation and method of histological diagnosis were studied with the objective of profiling isolated tuberculous epididymitis. Results : Fifty-four of the 187 men (median age 32 years; interquartile range: 21-37 years) had tuberculous epididymitis. Fourteen were excluded from the analysis (10 had associated urinary tract tuberculosis and 4 were lost to follow-up). None of the 40 men with isolated tuberculous epididymitis had urinary symptoms. Bilateral involvement was seen in five (12.5%) cases. The salient presenting features included painful swelling (16 subjects, 40%), scrotal sinus (4, 20%) and acute epididymitis (2, 10%). Past history or concomitant presence of tuberculosis was noted in three subjects each. Anti TB treatment resulted in a complete response in 10 and partial response in 18. Five subjects underwent epididymectomy. Tuberculous epididymitis was found incidentally in 5 (10%) cases on high orchiectomy specimen done for suspected testicular tumour. Conclusions : Tuberculous epididymitis can be the sole presentation of genitourinary tuberculosis
Isolated tuberculous epididymitis: A review of forty cases
Background: Tuberculous epididymitis is one of the causes of chronic
epididymal lesions. It is difficult to diagnose in the absence of renal
involvement. Aim : To profile isolated tuberculous epididymitis and to
assess our approach in the evaluation of this group of patients.
Setting and Design : Retrospective study done at Christian Medical
College, Vellore, South India. Methods and Materials : Between 1992
and 2002, 156 fine needle aspiration cytology specimens and 108
epididymal biopsies were carried out in 187 men for evaluation of
chronic epididymal nodules. Isolated epididymal tuberculosis was
defined as "tuberculous infection affecting the epididymis without
evidence of renal involvement as documented by the absence of acid fast
bacilli in the urine sample and on imaging". The age, laterality, mode
of presentation and method of histological diagnosis were studied with
the objective of profiling isolated tuberculous epididymitis. Results
: Fifty-four of the 187 men (median age 32 years; interquartile range:
21-37 years) had tuberculous epididymitis. Fourteen were excluded from
the analysis (10 had associated urinary tract tuberculosis and 4 were
lost to follow-up). None of the 40 men with isolated tuberculous
epididymitis had urinary symptoms. Bilateral involvement was seen in
five (12.5%) cases. The salient presenting features included painful
swelling (16 subjects, 40%), scrotal sinus (4, 20%) and acute
epididymitis (2, 10%). Past history or concomitant presence of
tuberculosis was noted in three subjects each. Anti TB treatment
resulted in a complete response in 10 and partial response in 18. Five
subjects underwent epididymectomy. Tuberculous epididymitis was found
incidentally in 5 (10%) cases on high orchiectomy specimen done for
suspected testicular tumour. Conclusions : Tuberculous epididymitis
can be the sole presentation of genitourinary tuberculosis
Isolated tuberculous epididymitis: a review of forty cases
Background: Tuberculous epididymitis is one of the causes of chronic
epididymal lesions. It is difficult to diagnose in the absence of renal
involvement. Aim : To profile isolated tuberculous epididymitis and to
assess our approach in the evaluation of this group of patients.
Setting and Design : Retrospective study done at Christian Medical
College, Vellore, South India. Methods and Materials : Between 1992
and 2002, 156 fine needle aspiration cytology specimens and 108
epididymal biopsies were carried out in 187 men for evaluation of
chronic epididymal nodules. Isolated epididymal tuberculosis was
defined as "tuberculous infection affecting the epididymis without
evidence of renal involvement as documented by the absence of acid fast
bacilli in the urine sample and on imaging". The age, laterality, mode
of presentation and method of histological diagnosis were studied with
the objective of profiling isolated tuberculous epididymitis. Results
: Fifty-four of the 187 men (median age 32 years; interquartile range:
21-37 years) had tuberculous epididymitis. Fourteen were excluded from
the analysis (10 had associated urinary tract tuberculosis and 4 were
lost to follow-up). None of the 40 men with isolated tuberculous
epididymitis had urinary symptoms. Bilateral involvement was seen in
five (12.5%) cases. The salient presenting features included painful
swelling (16 subjects, 40%), scrotal sinus (4, 20%) and acute
epididymitis (2, 10%). Past history or concomitant presence of
tuberculosis was noted in three subjects each. Anti TB treatment
resulted in a complete response in 10 and partial response in 18. Five
subjects underwent epididymectomy. Tuberculous epididymitis was found
incidentally in 5 (10%) cases on high orchiectomy specimen done for
suspected testicular tumour. Conclusions : Tuberculous epididymitis
can be the sole presentation of genitourinary tuberculosis
Melioidosis presenting as genitourinary infection in two men with diabetes
Melioidosis is an infectious disease caused by Burkholderia pseudomallei . It occurs predominantly in tropical regions. The manifestations are protean which include pneumonia, visceral abscesses, septic arthritis, osteomyelitis, acute suppurative and chronic granulomatous lesions with involvement of almost all organ systems. Fulminant sepsis is much more common and is associated with high mortality. Hence prompt recognition and early treatment is warranted. We report unusual presentations of urinary tract melioidosis in two diabetic men