Microcalcification of testis presenting as epididymo-orchitis

We report two cases who attended the genitourinary medicine clinic for the treatment of epididymo-orchitis. They did not respond to treatment and subsequent ultrasound sonography (USS) of testis confirmed microlithiasis and excluded any inflammatory process or carcinoma in situ. Because of its association with testicular cancer, these patients should be followed up by USS at least once a year on a long-term basis after diagnosis. Patients should be encouraged for testicular self-examination.