Associated Factors of Testicular Tuberculosis in Si Sa Ket Hospital, Si Sa Ket Province

Abstract

Objective: To study the symptoms, clinical manifestations, and factors associated with testicular tuberculosis at Sisaket Hospital.
Methods: This retrospective case-control study analyzed 182 medical records of patients treated between January 1st., 2014, and December 31st., 2024. Univariate analysis was performed using the Chi-square test or Fisher's exact test, and multivariable analysis was conducted using Multivariable Logistic Regression. Results were presented as Adjusted Odds Ratio (AOR), 95% Confidence Interval (95% CI), and p-value, with statistical significance set at 0.05.
Results: Among patients with testicular tuberculosis, 22.2% had fever, 87% experienced testicular pain, 18.7% had dysuria, 92.6% presented with scrotal swelling, 13% had scrotal abscesses, and 1.9% had abnormal radiographic findings. Factors significantly associated with testicular tuberculosis included a history of pulmonary tuberculosis, which increased the risk by 12.58 times (AOR = 12.58, 95% CI: 2.58 – 61.33, p-value = 0.0017), and chronic kidney disease, which increased the risk by 3.64 times (AOR = 3.64, 95% CI: 1.43 – 9.27, p-value = 0.0066).
Conclusions: The study identified a history of pulmonary tuberculosis and chronic kidney disease as significant risk factors for testicular tuberculosis in patients at Sisaket Hospital, Sisaket Province. Given the high-risk nature of this disease, public health authorities should prioritize surveillance and promote health literacy regarding potential urinary tract abnormalities to facilitate early detection and intervention.