To study the epidemiology and the clinical picture of male genital tuberculosis in Siberia, Russia.

514 patients with genitourinary tuberculosis were enrolled in the study: 414 had kidney tuberculosis only, 100 had genital involvement. The clinical picture and structure of genital tuberculosis were investigated: 42 had tuberculosis of scrotal organs and 58 had tuberculosis of the prostate.

Urinary cultures, urinalysis, 3-glass test, and investigation of the prostate secretion, Mycobacteria culture and susceptibility testing were performed in all 514 patients.

33.6% of all patients earlier suffered from pulmonary or extrapulmonary tuberculosis and were successfully cured. In 61.9% nephrotuberculosis was diagnosed alongside with an orchiepididymitis. In 30.9% of patients bilateral epididymorchitis was diagnosed. Mycobacteriuria was present in 16 (38.1%) in pts with orchiepididymitis, all strains drug-sensitive; and in 21 (36,2%) pts with TB of the prostate, 2 strains drug-resistance. Scrotal fistula were found in 11.9%. In 66.7% the symptoms appeared acutely.

Half of the patients with prostate tuberculosis complained of dysuria; 23 (39.6%) had perineal pain; 34 (58.6%) had flank pain. Leucocytes in urine were present in 49 (84.5%) patients, and in prostatic secretion in 45 (77.6%) patients. Erythrocytes in urine were present in 31 (53,4%) patients, and in prostatic secretions in 17 (29.3%) patients.

Male genital tuberculosis has no specific pathognomonic signs. Using a special algorithm for the management of patients with prostatitis or epididymitis is recommended.