OVERVIEW
Overview.
Testicular tuberculosis is mostly caused by tuberculosis of the prostate, seminal vesicles, vas deferens and epididymis spreading to each other. It is the least common type of tuberculosis in the reproductive system and is a late complication of epididymal tuberculosis. The disease often presents with symptoms such as full strength weakness and mild posterior pain in the testicles. It is usually treated by surgery and support.
Whether medical insurance
Yes
Department
Urology, Male, Infectious Disease
Clinical symptoms
Generalized weakness, low-grade fever, mild testicular pain, and a feeling of drooping.
Harms
Testicular tuberculosis may lead to infertility and increase the patient’s psychological burden.
Complications
Infertility.
Examination
Physical examination, blood routine, tuberculin test, erythrocyte sedimentation rate examination, ultrasound and chest X-ray.
Diagnosis
Diagnosis can be confirmed on the basis of the presence of symptoms such as generalized weakness, low-grade fever and mild testicular pain, combined with blood routine, tuberculin test, ultrasound and chest radiograph.
Treatment principle
Anti-tuberculosis treatment, strengthen nursing and nutritional support, and surgery if necessary.
Curability
It can be cured by medication or surgery.
Dietary advice
Patients are advised to eat a balanced diet with a light diet. Eat easy-to-digest, low-fat, high-protein, high-dietary fiber and high-vitamin foods.
Causes
Causes
Testicular tuberculosis is mostly caused by tuberculosis of the prostate, seminal vesicles, vas deferens and epididymis spreading to each other.
Symptoms and Diagnosis
Typical symptoms
In addition to the usual symptoms of tuberculosis toxicity, generalized malaise and low-grade fever, mild pain and a sensation of drooping in the testicles may also occur.
Other symptoms
When accompanied by epididymal tuberculosis, it may manifest as enlarged testicle with obvious pain and slightly hard and smooth texture.
When accompanied by thickening of the vas deferens, nodules may be palpable, or become beaded, etc.
When an abscess is formed, the testicle is cystic and significantly enlarged.
When accompanied by prostate and seminal vesicle tuberculosis, symptoms such as frequent urination, urgent urination, painful urination, low libido, erectile dysfunction, spermatorrhea, premature ejaculation, and hematospermia may appear.
5. When combined with pulmonary tuberculosis or intestinal tuberculosis, related symptoms may appear.
Diagnostic basis
1. symptoms such as generalized weakness, low fever, mild testicular pain and a feeling of falling down.
2. Blood routine shows accelerated erythrocyte sedimentation rate, positive tuberculin test, antacid bacilli found in smear of urethral secretion, ultrasound shows hypoechoic foci in testis, which are nodular or patchy, single, multiple or scattered, with unclear boundary of the foci, and tuberculous granulomas and caseous necrosis can be seen in the combined pathology examination.
Treatment
Treatment guideline
Anti-tuberculosis is the primary treatment goal, supplemented by strengthened nursing care and nutritional support, and surgery if necessary.
Drug therapy
Anti-tuberculosis treatment is usually based on isoniazid, rifampicin, pyrazinamide, ethambutol and streptomycin.
Surgery
Surgery may be considered when localized abscesses or sinus tracts are formed and prolonged treatment with anti-tuberculosis drugs fails.
Other treatments
Supportive therapy, including rest, scrotal support and nutrition.
Prognosis
The prognosis is generally good through early, regular and sufficient courses of anti-tuberculosis treatment.
Nursing care
Daily care
1. Exercise appropriately to strengthen body resistance.
2. Maintain a pleasant mood.
Dietary management
Eat a light diet, more foods rich in protein, vitamins and fiber, more fresh vegetables and fruits, and less spicy and stimulating foods.
Other Attention
Follow the doctor’s instructions for medication, do not arbitrarily reduce the dosage or stop the medication, regular follow-up. If there is any discomfort, go to the hospital in time.