male germline tuberculosis
Introduction
Introduction to male reproductive tuberculosis Male reproductive tuberculosis is a common disease, mostly with urinary tuberculosis. According to the statistics of the literature, the percentage of concurrent tuberculosis in these two systems is 50-80%, and the single male germ line tuberculosis only accounts for 10%. basic knowledge Sickness ratio: 0.0012% Susceptible people: young adults, mostly in the 20 to 40 years old. Mode of infection: blood transmission Complications: tuberculosis
Cause
Male genital tuberculosis
Blood infection (35%):
Urinary tuberculosis originates from the kidney. The majority of kidney tuberculosis originates from tuberculosis, and a few originate from bone, joint tuberculosis or digestive tract tuberculosis. Tuberculosis causes tuberculosis caused by blood stasis. The incidence of tuberculosis in male reproductive system is the same as that of tuberculosis in other organs. It is a secondary lesion of tuberculosis in other organs of the body. Mycobacterium tuberculosis invades the male reproductive system from blood.
Urinary tract infection (20%):
On the basis of renal tuberculosis, Mycobacterium tuberculosis invades the male reproductive system from urine, and is therefore a secondary disease of renal tuberculosis. At the same time, the more serious the renal tuberculosis, the more chances of combining male reproductive tuberculosis, in a group of 143 cases. Among the cases of renal tuberculosis, miliary tuberculosis complicated with male genital tuberculosis is 13%, caseous tuberculosis is 58%, and cavitary tuberculosis is 100%. It is currently considered that male genital tuberculosis is infected by blood or urinary tract infection. Often from the prostate, the seminal vesicles spread to the vas deferens, and then spread from the vas deferens lumen or canal lymphatics to the epididymis, after the lesions in the tail of the epididymis, then spread to other parts of the epididymis and testis, from the bloodstream of infected male reproductive tract tuberculosis Directly cause epididymal tuberculosis, this infection often begins in the epididymis head, clinically often urinary tract infection and blood infection is relatively rare.
Prevention
Male reproductive tuberculosis prevention
1. Strengthen health education so that young people understand the harms and ways of infection of tuberculosis. Develop good health habits that don't spit. The TB patients are burned or disinfected.
2. Regular physical examination of adolescents should be carried out to achieve early detection, early isolation and early treatment. In addition, BCG vaccine should be given to infants and young children on time to make the body immune and reduce the occurrence of tuberculosis.
3. Found that there are symptoms such as low fever, night sweats, and blood clots in dry cough, so go to the hospital for examination. After the diagnosis of tuberculosis, it should be treated immediately with streptomycin, remi-salt, and ethambutol. At the same time, we must also pay attention to increase nutrition to enhance physical fitness. As long as it is found to be timely and completely treated, tuberculosis can be completely cured.
Complication
Male genital tuberculosis complications Complications tuberculosis
Complicated with tuberculosis in other parts of the body, such as tuberculosis, peritoneal tuberculosis, lymph node tuberculosis, bone tuberculosis, kidney tuberculosis, etc., in the clinical diagnosis and treatment process, it is necessary to further improve the chest X-ray, B-ultrasound, CT and MRI examinations for comprehensive analysis and judgment to clear Are there any complications of tuberculosis in the above areas? At the same time, it is also necessary to distinguish from diseases such as testicular tumors, which can be clearly determined based on B-ultrasound and other auxiliary examinations.
Symptom
Male genital tuberculosis symptoms Common symptoms Low heat night sweats Abdominal dull pain and soreness
The clinical manifestations of male germline tuberculosis are often the symptoms of epididymal tuberculosis, the disease develops slowly, the symptoms are mild, the epididymis gradually enlarges, occasionally falls or slightly pain, can not cause the patient's attention, so often inadvertently found, epididymal lesions From the tail to the body, the head spreads to the entire epididymis. When the lesion develops, it can adhere to the scrotum and the cheese-like necrosis forms a cold abscess. Finally, it collapses into a sinus. After a long time, a few epididymal tuberculosis cases may have acute symptoms. It is caused by secondary infection. The patient has sudden fever. The scrotum is swollen and painful in the epididymis. The abscess is broken. The acute symptoms gradually disappear and then turn into the chronic stage. The performance of vas deferens is only thickened and hardened after fibrosis. , cord-like or beaded, bilateral vas deferens, epididymal tuberculosis patients can cause infertility.
Examine
Examination of male reproductive tuberculosis
The diagnosis of male germline tuberculosis is generally not difficult, mainly based on the above clinical manifestations and physical examination of the scrotum and digital rectal examination, abnormal enlargement of the prostate and seminal vesicles, tuberculous nodules, and nodules and vas deferens of the epididymis Signs such as thickening beading can establish a diagnosis, epididymal lesions and adhesion to the scrotum and collapse to form a chronic sinus, it can be more clearly identified as tuberculosis, a small number of diagnoses can not be clear for semen culture or smear examination of Mycobacterium tuberculosis, and Prostatic fluid Mycobacterium tuberculosis test, although there are fewer positive results, but this test still has reference value. X-ray examination sometimes shows calcification in the prostate. Although seminal vesicle angiography can show vas deferens, seminal vesicle lesions, vas deferens stenosis, seminal vesicle development Irregularity, expansion, destruction and other changes, but often these cases can not pass the contrast agent due to the obstruction of the lesion, the development is not successful, so the practical application value is not large.
Diagnosis
Diagnosis and identification of male germline tuberculosis
The diagnosis of male germline tuberculosis needs to be distinguished from prostate cancer, gonococcal or non-specific epididymitis, and scrotal blood filariasis. Generally no difficulty, it can be clarified from medical history, laboratory tests and needle biopsy. More than 50% of the early stage had tuberculosis outside the basin, the common cases were tuberculosis, pleurisy, followed by tuberculous peritonitis, nodular erythema and kidney, bone tuberculosis, etc., so the infertility appeared after the history of the above disease Need to be differentiated from the disease.
