Male genital tuberculosis: epidemiology and diagnostic.

Introduction: Urogenital TB (UGTB) is the second most common form of extrapulmonary TB (EPTB) in countries with severe epidemic situation and the third most common form in regions with low incidence of TB. Male genital TB (MGTB) seems to be a rare disease. Nevertheless, 77% of men who died from TB of all localizations had prostate TB that had mostly been overlooked during their life time.

Materials And Methods: A Medline/PubMed research with key words "male genital tuberculosis" was conducted. Estimates of incidence and spectrum of EPTB in Siberia are presented on the basis of statistical reports for 1999-2010. Additionally, the clinical features and laboratory findings of 310 patients with UGTB are reported.

Results: A Medline/PubMed research with key words "male genital tuberculosis" resulted in a total of 861 titles only. During the last decade, the incidence rate of TB in Siberia increased up to 20%. Every year in Siberia, there are about 1000 new EPTB patients; the proportion of UGTB decreased from 42.9 to 33.9%. Late diagnosed complicated forms predominated.

Conclusion: In Siberia, there is still a severe epidemic situation now. Low living standard, poverty, as well as poor knowledge lead to late diagnosis of EPTB with complicated multi-organ forms.