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Is Fine Needle Aspiration An Effective Treatment For Epididymitis?
Hi,I have been suffering from epidimitis at my right testicle which was started at one mid-night of April,2012 with severe biting pain, then went to urologists of Sydney, but Ist one douted as Tumour or cancerous, then 2nd one did say the same thing. He doubted as TB, and tb quanteferon was +ve, later went to TB clinic, Ct Scan, cest Xray, urine every where was -ve.
but TB doctor said to do biopsy,but the specialist said it might leak, and I did not get marriage, I sould not do that.
Couple of month I did not fell so pain, but from couple of weeks before I have been feeling pain at both testiles and a sharp biting pain at the left abdomen. i felt this abdomen pain about month before and today two times. Sometimes when I wear tight trouser I feel pain at my right abdomen.
I have heard about Fine Needle Aspiration method for biopsy, can I do that without any leaking risk?
My testicle's right one's present condition is head under the epididymis and epididymis swelling.
at left one have very small lump type something beside the epidymise.
do u think it is cancerous or what is is openion.
Some times I feel dull biting pain at my urethra
but TB doctor said to do biopsy,but the specialist said it might leak, and I did not get marriage, I sould not do that.
Couple of month I did not fell so pain, but from couple of weeks before I have been feeling pain at both testiles and a sharp biting pain at the left abdomen. i felt this abdomen pain about month before and today two times. Sometimes when I wear tight trouser I feel pain at my right abdomen.
I have heard about Fine Needle Aspiration method for biopsy, can I do that without any leaking risk?
My testicle's right one's present condition is head under the epididymis and epididymis swelling.
at left one have very small lump type something beside the epidymise.
do u think it is cancerous or what is is openion.
Some times I feel dull biting pain at my urethra
Wed, 26 Mar 2014
Hi.
Let us be bit systematic in thought process::
You say this problem is since April 2012- almost 2 years= so NO chances of cancer.
There are no known cancers of epididymis.
Quantiferron is a reliable and sensitive test for TB.
IN TB of epididymitis , other tests of CT , x-ray may be negative.
You can not have biopsy - very true if you are not married yet. Please undergo semen analysis for sperm count, quality of sperms if present, for TB bacilli ( AFB Staining ) TB culture if the facility is available.
FNAC is a good test and can help diagnosis, must be done under ultrasonography guidance for accurate aspirate. But there is no guarantee of positive results as epididymis has a very atypical anatomical structure , which might have changed in your case.
Tuberculosis of epididymitis has a classical finding of ''beading appearance''. If this is there you can start anti-TB treatment.
another point is - one can always treat the patient on empirical basis for clinically suspected TB to see results and get treated at the same time.
Pain in abdomen can be due to TB lymph nodes / affection of the spermatic cord which enters the abdomen through a canal and enters the prostate.
Request your Doctor to start anti TB treatment as I directed . You may get great results ( if not already started )
Let us be bit systematic in thought process::
You say this problem is since April 2012- almost 2 years= so NO chances of cancer.
There are no known cancers of epididymis.
Quantiferron is a reliable and sensitive test for TB.
IN TB of epididymitis , other tests of CT , x-ray may be negative.
You can not have biopsy - very true if you are not married yet. Please undergo semen analysis for sperm count, quality of sperms if present, for TB bacilli ( AFB Staining ) TB culture if the facility is available.
FNAC is a good test and can help diagnosis, must be done under ultrasonography guidance for accurate aspirate. But there is no guarantee of positive results as epididymis has a very atypical anatomical structure , which might have changed in your case.
Tuberculosis of epididymitis has a classical finding of ''beading appearance''. If this is there you can start anti-TB treatment.
another point is - one can always treat the patient on empirical basis for clinically suspected TB to see results and get treated at the same time.
Pain in abdomen can be due to TB lymph nodes / affection of the spermatic cord which enters the abdomen through a canal and enters the prostate.
Request your Doctor to start anti TB treatment as I directed . You may get great results ( if not already started )
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