Patient's question:
Symptoms and Causes of Testicular TuberculosisDoctor's answer:
Hello: In male genital tuberculosis, simple testicular tuberculosis is rare. Since the majority of tuberculosis in the male reproductive system is secondary to tuberculosis of the urinary system, such as renal tuberculosis. Testicular tuberculosis is mostly caused by the spread of tuberculosis from the prostate, seminal vesicle, vas deferens, and epididymis. The main clinical manifestations of testicular tuberculosis, in addition to general tuberculous intoxication symptoms, general fatigue, and low fever, include mild local pain in the testicle, a sense of dragging, and difficulty in early diagnosis. A few cases develop acutely, often accompanied by epididymal tuberculosis. It may manifest as testicular enlargement, significant pain, slightly hard and smooth texture of the testicle. Sometimes, when the vas deferens is thickened, nodules can be palpated, or they may resemble a string of pearls. When combined with testicular hydrocele, the testicle can be felt to have a cystic sensation and show significant enlargement. At the same time, if there is prostatic and seminal vesicular tuberculosis, the patient may experience symptoms such as frequent urination, urgent urination, painful urination, low libido, impotence, nocturnal emissions, premature ejaculation, and hematospermia.