Suggest Treatment For Painful And Enlarged Scrotum

Posted on Thu, 23 Apr 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 23 Apr 2015 Answered on

Thu, 14 May 2015 Last reviewed on

Question : Enlarged painful right scrotum appeared two days ago. Had a catheter on for six weeks after inguinal hernia surgery (lump on left side) due to urine retention due to enlarged prostrate. May have recently overstretched or slept on scrotum. Chills, low grade fever, and low blood pressure occurred last two day also. Fever now gone away.

Answered by Dr. Deepak Kishore Kaltari (3 hours later)

Brief Answer:
Possibility of Epididymorchitis needs to be considered

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Sir

Painful enlarged scrotum on one side following catheterization, possibility of Epididymorchitis( inflammation of testis and cord supplying it ) needs to be considered and ruled out. Exact diagnosis will depend on clinical examination. Consulting your primary care physician will be helpful.

In the meantime I would suggest you the following

1. Good scrotal support : Wearing right size underwear which is neither too tight nor too loose will be helpful. Providing scrotal support will help relieve pain

2. Analgesic like Ibuprofen will be helpful.

3. Urine examination

4. Doppler scan in consultation with your Physician

Do get back to me if you need any further assistance, will be glad to assist you.
Wishing you and your family a very happy and healthy life.

Take care

Best Regards
Dr Deepak Kaltari

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar