1 Tubculosis of epididymis often occur with tuberculosis of the prostate or tuberculosis of the seminal vesicle. Original lesion of tubculosis of epididymis is in the prostate.Tubculosis in the kidney can infect and spread to prostate and seminal vesicle, and infect epididymis.
2 Tubculosis of epididymis can also be caused by BSIs. There starts a lesion in the mesenchyma of epididymis, and some small lump can be seen, and the lesion spread to epididymal duct. The lesion could spread outside the epididymis in a short time and causes a adhension between the epididymis and scrotum. In the lesion in the epididymal duct, there are deciduous epithelial cells, white blood cells and large amount of tubercle bacillus. There is a necrosis of epididymal duct, granuloma, fiberized epididymal duct, and blockage in seminiferous duct. The disease would cause a necrospermia, azoospermia or infertility.
Contrast examination of the urinary syatem and culcure of urine tubercle bacillus both have the result of negative. However, in the lesion in the epididymis, tubercle bacillus can be found.
The pathogen of tubculosis of epididymis is tubercle bacillus. Tubercle bacillus is a rod-shaped aerobic bacterium(Mycobacterium tuberculosis)that causes tuberculosis. Antibiotics can kill reproductive tubercle bacillus. However, for those which do not reproduce, their metabolism cannot be stopped by antibiotics. That's why antibiotics can hardly cure tubculosis of epididymis.
Treatment of tuberculous Epididymitis with tcm
1 Traditional Chinese herb Sessile Stemona Root is a kind of med which can treat tuberculosis, with other herbs which can clear away heat and toxic material, tuberculosis can be cured in three months.
2 As the disease causes lesion in the epididymis - lump, fibrosis and obstruction, those lesions can be treated with meds which can promote blood circulation and dissolve stasis, dissipate hard lumps, and be back to normal in the final.