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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Reduced Blood Flow In Right Testis

Hi doc, I am54 year old. I have an enlarged right testis heterogeneous parenchyma, and markedly reduced blood flow in right testis. There is also a thick fluid in right hemiscrotal sac. Left sided varicocele.
Summary of findings; right testis is enlarged in size (4.21X 2.33 cm) and left testis is normal sized. (3.84X2.33cm) There is a cyst seen in left epidymis measuring about 6x6 mm. Veins of pampiniform plexus are dilated on left side. blood flow is increased on valsalva's maneuver.
Mon, 14 Dec 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your age of 5 and having report of left varicocele, right testis problem with hetrogenous parenchyma and reduced blood flow to the testis.
This is suspicious of the cancer although there is a reduced blood flow, which does not go by the cancer.
Yet it needs further investigations and if suspected, orchidectomy meaning removal of the affected testis and sending for the histopathology reports if your Urologist feels so.
At the same time you need to undergo the CT scan of the abdomen and the chest to find out the lymph nodes.
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Suggest Treatment For Reduced Blood Flow In Right Testis

Hi. Thanks for your query. Noted your age of 5 and having report of left varicocele, right testis problem with hetrogenous parenchyma and reduced blood flow to the testis. This is suspicious of the cancer although there is a reduced blood flow, which does not go by the cancer. Yet it needs further investigations and if suspected, orchidectomy meaning removal of the affected testis and sending for the histopathology reports if your Urologist feels so. At the same time you need to undergo the CT scan of the abdomen and the chest to find out the lymph nodes.