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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Right Testicle?

Hi!, I always experience right testicular(sometimes involves the upper pole and the epididymis) pain with persistent engorgement of the vas deferens app 7mins after ejacuation.The pain on few occasions extended to the groin area This has been going on for more than a year now and I have done a lot of lab investitagions including semen analysis and culture. I been on many antibiotics( ciprofloxacin, septrin, etc) with no sign of improvement.All my semen analyses have shown high leucocytes and a decreased sperm count(19million).My semen was recently cultured & citrobacter spp was isolated, which was sensitive to levofloxacin and resistant to all the previously mentioned antibiotics.For the past 2 wks, I have been on levofloxacin. I would appreciate your input regarding my long standing problem.
posted on Mon, 24 Apr 2017
Twitter Tue, 16 Oct 2018 Answered on
Twitter Wed, 17 Oct 2018 Last reviewed on
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General Surgeon,  's  Response
Hello,

This type of pain and location is suggestive of epididymitis which is inflammation of part of the 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 consequences. 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 Ivan R. Rommstein, General Surgeon
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What Causes Pain In The Right Testicle?

Hello, This type of pain and location is suggestive of epididymitis which is inflammation of part of the 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 consequences. 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 Ivan R. Rommstein, General Surgeon