Patient's question:
Genetic system has tuberculosisDoctor's answer:
The diagnostic criteria for tuberculosis of the male reproductive system are as follows:1) History: Tuberculosis of the male reproductive system is often derived from renal tuberculosis or accompanied by tuberculosis in other parts of the body, such as pulmonary tuberculosis or intestinal tuberculosis.
2) Clinical manifestations: The onset is usually gradual; in some cases, it may be sudden with pronounced local pain. After acute symptoms subside, the condition becomes chronic.
3) Physical examination: Early lesions are located at the tail of the epididymis, gradually spreading to the entire epididymis. Palpation reveals an enlarged, hard, irregular epididymis, or localized epididymal nodules. When the tubules are affected by tuberculosis, thickened spermatic ducts with a beaded appearance may be palpated. Caseous lesions and abscesses of the epididymis can involve surrounding tissues, adhere to the scrotal skin, and form sinuses that heal poorly. Complications with prostatic and seminal vesicle tuberculosis may lead to hematospermia. Tuberculosis infection of the corpora cavernosa can result in penile tuberculosis.
4) Laboratory tests: Erythrocyte sedimentation rate, urine for Mycobacterium tuberculosis detection; prostatic fluid for Mycobacterium tuberculosis detection; TB-SPOT tests, etc.
5) Differential diagnosis: Exclude other conditions, such as chronic epididymitis.
6) Treatment and confirmation: If the lesion is early, antituberculous drugs can be administered. If the treatment is effective, it confirms the diagnosis of tuberculosis. If the lesion is severe, an epididymectomy is required for surgical confirmation.