Hello doctor, for the past few weeks i was suffering with prostatitis(few occasions of yellowish semen and mild testicular pain) so i have underwent a barrage of test - initial urine cultures showed mixed growths and few WBC, had ultrasounds of my entire tract, showed nothing of ordinary in kidneys or testicles, but prostate had a few calcii deposits, cystoscopy was normal, and blood tests showed kidney functioning was normal. a few days after these initial test i had urinary symptoms still mild and was later diagnosed with UTI and prostatitis due to ecoli. had antibiotics for a few weeks - semen became normal but there were small instances of testicular pain which were on and off. doctor suggested i do a intravenous urogram. which showed a mild UPJ obstruction in my right kidney and no hydroureter. pls note that no pelvicalyecal dilation was discovered in the renal ultra sounds which i had may be 2 months back. the doctor says its not severe and i don't need surgery yet since i don't have any pain/symptoms and the dilation is not big enough. He has asked me to get a check done every year to monitor this. few weeks later i had my CT scan to obtain further information. According to the CT scan the dilation in the pelvis is not a real UPJ but only looks like UPJ in IVP since the kidney is a bit rotated, so no UPJ according to the radiologist doing CT. Blood test for kidney function and PSA test all reveal normal functioning. All these tests were done since the doctor thinks the prostatitis was still not cured and i had intermittent symptoms of pain near the perineum during urination. after a few days i started developing pain in my left testicle and foamy urine which clears momentarily after sex/masturbation which evolved into a lump and was diagnosed with epididymitis. i was put on antibiotics for 6 days after which the infection didn't clear and then doctor put me on another course for 16 days which is currently ongoing. the pain had disappeared quite quickly after 3-4 days but small pain remains only when i touch harder at the epididymitis, however no pain on walking or anything like that, only the swelling remains however i can see that it is much less than what i had before treatment, however the foamy urine still persists and clears up for a few hours after masturbation. the doctor suspects that this could be because of my previous infection of TB in the lungs back in 2008 which could be causing this epididymitis in the tail to persist. can you please explain me what this TB in epididymitis could lead to. Im worried since i have only 1 kidney and i basically want to know what test need to be done to identify the root cause of this problem Optional Information: Person's Gender: Male Person's Age: 30
Hello doctor, Can you pls describe the tests used to identify tb in this case. The current doctors have asked for the following tests: Urine microbiology Complete blood count Ultrasounds KUB scrotum prostate Uroflowmetry Chest xray Mantiux test Erythrocyte sedimentation rate Semen analysis Any other tests that need doing? Also i appeared for all the tests other than the semen test for which i just have to deposit it in a container tomorrow morning. The results for all the tests would be out by tomorrow evening including the semen tests. I thought these urine microbiology and sement tests usually take upto 48 hours of culture. Is that the way how its always done? I thought that this would be done through a prostate massage
Also can you pls explain under what circumstances can this TB spread to my kidney, i.e. what does systematic TB mean. the TB i had before was plain pulmonary TB (water formation in lungs) and i had taken the proper 9 month course for this. Also what would be the symptoms to notify earlier if the spread has happened to kidneys?
Also how is it possible for the current antibiotics to actually be of any help since usually stop getting pain after 2-3 days of starting antibiotics. only the swelling is taking time to reduce.