Is testicular tuberculosis contagious?

Testicular tuberculosis is not contagious. It is mainly caused by diseases such as prostatitis or renal tuberculosis in the reproductive system. It can cause difficulty urinating and testicular pain in men, as well as premature ejaculation and impotence, but it is not transmitted through sexual intercourse. For the symptoms of testicular tuberculosis, we can learn about the methods introduced in this article and then do a good job in the treatment of testicular tuberculosis.

Generally speaking, it is not contagious.

Causes

Because most of the male reproductive system tuberculosis is secondary to urinary system tuberculosis, such as renal tuberculosis, etc. Testicular tuberculosis is mostly caused by the spread of tuberculosis in the prostate, seminal vesicle, vas deferens, and epididymis.

Clinical manifestations

The main clinical manifestations of testicular tuberculosis, in addition to the general symptoms of tuberculosis poisoning, general fatigue, and low fever, are mild local testicular pain, implicit pain and a sense of falling. It is difficult to diagnose in the early stage. A small number of cases are acute, and epididymal tuberculosis is often present at the same time. It can be manifested as enlarged testicles, obvious pain, enlarged testicles, slightly hard and smooth texture, sometimes accompanied by thickening of the vas deferens, nodules can be touched, or beaded, etc. When combined with testicular hydrocele, the testicles can be touched to have a cystic feeling and obvious enlargement. When there is tuberculosis of the prostate and seminal vesicle at the same time, the patient may have frequent urination, urgency, pain, low libido, impotence, spermatorrhea, premature ejaculation, hematospermia, etc.

Laboratory inspection

The erythrocyte sedimentation rate (ESR) is accelerated and the OT test is positive. Acid-fast bacteria may be found in urethral secretion smears.

Differential diagnosis

Testicular tumor

It also manifests as swelling and discomfort in the testicle. However, the mass feels heavy, has a clear boundary with the epididymis, the OT test is negative, and there is no acid-fast bacillus in the secretion smear.

Acute orchitis

It also manifests as pain and discomfort. But there is often fever. Physical examination reveals that the testicles are uniformly enlarged and tender. There are a large number of white blood cells in the urine, but no acid-fast bacteria.

harm

Testicular tuberculosis is similar to tuberculosis in other organs. The pathological changes are caseous changes, cavitation and fibrosis. This causes the destruction of the testicular structure, damage to the testicular interstitial cells, and the function of the interstitial cells to secrete male hormones will decline, and even cause testicular atrophy. This leads to low male sexual function and sexual dysfunction such as impotence, premature ejaculation and ejaculation pain. Since this disease belongs to the pathogenesis of chronic wasting diseases, the disease significantly increases the psychological pressure on patients. The mental burden will reduce the patient's sexual desire, sexual function decline and aggravate impotence.

treatment

Drug treatment

The dosage and principles of medication are the same as those for renal tuberculosis.

Surgical treatment

When local caseous necrosis is severe, the affected testicle can be surgically removed.

Inspection method

1) Infertile patients with normal testicular volume and hormone levels in clinical examination.

2) If semen examination shows oligospermia and follicle-stimulating hormone is within the normal range, spermatogenesis can be determined by biopsy.

3) For oligospermia caused by varicocele, biopsy can help diagnose the impact of varicocele on testicular spermatogenesis.

4) If a cryptorchiopexy is to be performed during adolescence or later in development, a preoperative biopsy can evaluate spermatogenesis and exclude the possibility of malignant changes.

5) Testicular biopsy combined with endocrine examination can determine whether hypotesticular function is primary or secondary.

6) Vas deferens angiography shows vas deferens obstruction. Biopsy can help diagnose the spermatogenic function of the testicles and choose vasostomy.

7) Evaluation of the efficacy of hormone drug treatment before and after treatment