If the epididymal nodule continues to grow, what should be done and how should it be handled?

Patient's question:

I am 28 years old, and I have had a persistent high fever for 2 days. Additionally, I am extremely sensitive to cold. At first, I thought it was just a cold, but then I noticed that my testicles were becoming increasingly painful, and when I touched them, it felt like there was water inside. I went to the hospital for a check-up and was diagnosed with orchitis.
Question: What should I do if the epididymal nodule continues to grow?

Doctor's answer:

Yes, you are younger. If the epididymal nodule is surgically removed, this is equivalent to having a vasectomy on that side, and the vas deferens would need to be ligated. So, it is relatively more prudent to avoid surgery in this case. Currently, the main focus is to determine whether it is tuberculosis or an infectious inflammation. Of course, it would be best if medication can control it. If it is tuberculosis, it may be necessary to remove it, otherwise, it would be very difficult to control the tuberculosis.

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