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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Swelling On Testicles

Went to E.R. with painful and swollen left testicle: ultrasound and urinalysis suggest epididymitis. Also: squamous epithelium: few/hpf, WBC 10-20/hpf, RBC:5-10/ hpf and WBC Esterase 25 Leu/uL. Just wondered if these numbers suggest any underlying pathological condition other than epididymitis....they want a follow up scan after round of antibiotics saying that epididymis was somewhat irregular shape and lining rough.
Mon, 27 Apr 2020
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General Surgeon,  's  Response
Hi,

This type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age.

This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances.

Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course.

Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein
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Suggest Treatment For Pain And Swelling On Testicles

Hi, This type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein