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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lumps In Testicle

Respected Sir/Mam Please help me. Name : Keshav Kumar, Age : 20, Sex : Male. About 10 days ago I have moved a short distance triple load on a bike at evening(felt no hurt on bike), the next day i felt SWELLING in my LEFT TESTIS, the VEIN of my Left testis were swollen bt without pain I felt that it would become normal aftr some days bt swelling of vein increased and a kind of HARD LUMP get grown on upper part of my Left testis. So on 17/5/11 I went to a homeopath doctor and he gaved me some liquid medicine for Variocele and asked me to take 10 drop of it with 1/2 cup water 2 times every day. On night of 18/5/11 I felt pain in my stomach and on the Lump that has formed at upper part of Left testis and when tried to touch that lump it pained like hell. Then I took Pudin hara tablet and my stomach ache got all right but pain existed on testis lump. Now today on 19th am not felling any pain any where and there is slight decrement in swollen vien but still it hurts a little when I give a hard touch to the lump. Same type of lump and swollen vein has formed on my Right testis about 2 yrs ago when I have hurted my RIGHT testis by moving triple loading on bike, but that got corrected itself but leaving a very small lump at upper side of Right testis. Now am very worried about my Left one,, please tell me what problem i have and what to do for best, am really afraid of surgery thing. Please help me I will be ever n ever gratefull to you.
Tue, 20 Oct 2015
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General Surgeon 's  Response
HI,Welcome to HCM.
Based on the facts of your query,you would need the treatment depending on the cause.You seem to suffer from -post-stress-Varicocele of left testes,from the story you told.Similar happening on right side points to the cause of this as the -triple loading drive on bike for a short distance.
This points to the squeezing injury to the testes for short distance,with may torsion of the testes,which got relieved 2 yrs back,as it did now.

My Impression-in you being active and young patient-is as follows-

Thus your case seems to be a Case of Torsion of Testes with temporary Varicocele of Left cord with left Testes with abdominal pain and vommiting.
-USG with Doppler study of the of the Testes would fix this cause.
-Second opinion from Surgeon would resolve this issue.
In My opionion-as the condition recurred on the left side after the right side testes affected 2 yrs back with same history,this is a case of Torsion Testes with Acute Varicocele of Left testes.

Treatment-
As the left testes torsion is now detected from your events only, I would suggest you to undergo
Bilateral Prophylactic Orchiopexy -to prevent the Recurring Testes Torsion Bilaterally would give lifelong relief from the recurring Torsion of the Testes.

HOpe This reply would help you to plan further treatment for the shadow causing lung tumor -of your Mother.
So Just co-operate with your doctors to help you to get the best possible treatment in their Unit/Hospital.

Hope this reply would satisfy you and would resolve the accompanied worries of You for life time by avoiding risk of recurring Torsion Testes, which is most common cause of acute testicular pain unless proved otherwise.
Also this reply would help you to plan further treatment of your critical Torsion Testes in the best possible way,to lead to your earliest recovery.

Welcome for any further query in this regard,to be attended in next session.

Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.

Good Day!!
     
Dr.Savaskar,
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Treatment For Lumps In Testicle

HI,Welcome to HCM. Based on the facts of your query,you would need the treatment depending on the cause.You seem to suffer from -post-stress-Varicocele of left testes,from the story you told.Similar happening on right side points to the cause of this as the -triple loading drive on bike for a short distance. This points to the squeezing injury to the testes for short distance,with may torsion of the testes,which got relieved 2 yrs back,as it did now. My Impression-in you being active and young patient-is as follows- Thus your case seems to be a Case of Torsion of Testes with temporary Varicocele of Left cord with left Testes with abdominal pain and vommiting. -USG with Doppler study of the of the Testes would fix this cause. -Second opinion from Surgeon would resolve this issue. In My opionion-as the condition recurred on the left side after the right side testes affected 2 yrs back with same history,this is a case of Torsion Testes with Acute Varicocele of Left testes. Treatment- As the left testes torsion is now detected from your events only, I would suggest you to undergo Bilateral Prophylactic Orchiopexy -to prevent the Recurring Testes Torsion Bilaterally would give lifelong relief from the recurring Torsion of the Testes. HOpe This reply would help you to plan further treatment for the shadow causing lung tumor -of your Mother. So Just co-operate with your doctors to help you to get the best possible treatment in their Unit/Hospital. Hope this reply would satisfy you and would resolve the accompanied worries of You for life time by avoiding risk of recurring Torsion Testes, which is most common cause of acute testicular pain unless proved otherwise. Also this reply would help you to plan further treatment of your critical Torsion Testes in the best possible way,to lead to your earliest recovery. Welcome for any further query in this regard,to be attended in next session. Will appreciate writing your feedback review comments,to help the needy patients like you at HCM. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS