Epididymitis and Tuberculosis: Symptoms and Concerns - Urology

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Epididymitis, particularly when associated with tuberculosis (TB), can be a concerning condition that warrants careful evaluation and management. Your symptoms and history raise several important points that need to be addressed.

Firstly, it's essential to clarify that while excessive masturbation is often a source of concern for many, it is not directly linked to the development of epididymitis or epididymal tuberculosis. Epididymitis is typically caused by infections, which can be bacterial or viral in nature. In the context of tuberculosis, it is a rare but serious complication that occurs when the TB bacteria spread to the epididymis, often as a result of disseminated infection from other sites, such as the lungs.

Regarding your symptoms, the presence of hard lumps in the testicles and occasional pain in the lower abdomen and back could indeed suggest an underlying issue, including epididymitis or even a testicular mass. The fact that you have not experienced significant pain or disruption to your daily life is somewhat reassuring, but it does not eliminate the need for further investigation. The lumps you feel could be due to a variety of reasons, including benign conditions like cysts or more serious issues like infections or tumors.

As for your concerns about the potential impact of epididymitis on the kidneys and liver, it is important to note that while epididymitis itself primarily affects the reproductive system, if it is part of a systemic TB infection, there could be implications for other organs. TB can affect multiple systems in the body, and if left untreated, it can lead to complications that may involve the kidneys or other organs.

You mentioned that you have stopped masturbating for three weeks. While this is a personal choice, it is unlikely to have a direct impact on the severity of any existing epididymal condition. However, if you are experiencing discomfort or pain during ejaculation, it may be beneficial to discuss this with a healthcare provider.

Given the symptoms you have described, it is highly advisable to seek medical attention. A healthcare professional can perform a thorough examination, possibly including imaging studies such as an ultrasound of the scrotum, and laboratory tests to determine the presence of infection or other abnormalities. If tuberculosis is suspected, further testing, including a tuberculin skin test or blood tests, may be warranted to confirm the diagnosis.

In summary, while your symptoms may not currently be severe, the presence of hard lumps in the testicles and associated discomfort should not be ignored. It is crucial to consult a healthcare provider for a comprehensive evaluation and appropriate management. Early diagnosis and treatment are key to preventing potential complications, especially if tuberculosis is involved.