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HI I Was Treated For Epididimytis (sorry Not Sure Of

Posted on Mon, 15 Oct 2018

Question: HI
I was treated for epididimytis (sorry not sure of spelling) with a sulfa antibiotic. I had a terrible sore throat, mouth sores and tongue turned white - consensus is this was a reaction to the antibiotic so I stopped taking it. I later saw my urologist and he said I could not have had epydidimitis because he had performed a prostatectomy and sealed off the connections. Questions 1) is this correct? My epid. as still mildly sore and perhaps one night a week I get a sharp pain that seems to start in the testicle and shoot up into my lower abdomen from one of both testicles. Question 2) any idea what this is and should I be concerned?
thanks XXXXXXX

Answered by Dr. Anders Mark Christensen (27 minutes later)

Brief Answer:
You can definitely get epididymitis

Detailed Answer:
Hi Huntervg,

A prostatectomy does not prevent you from epididymitis, so that can still be the case. I suggest you repeat the urinalysis and urine culture/urethral swap and have an ultrasound of your testes.

Hope this helps, let me know if you have further questions.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Anders Mark Christensen (4 hours later)

Hi

Very interesting! Several people have told me my urologist is one of the best surgeons in North XXXXXXX He said he knew I did not have epid. because he cut off the connections and only some really serious kind of epid. is possible that is nearly fatal.

Is the symptom of shooting pain up into lower abdomen a sign of epid. ?

thanks again XXXXXXX

Answered by Dr. Anders Mark Christensen (18 hours later)

Brief Answer:
An ultrasound will give the diagnosis

Detailed Answer:
Hi again XXXXXXX

I agree that epididymitis is very unlikely, but considering your symptoms, every differential diagnosis should be kept in mind. In any case, an ultrasound of your testes will help give the diagnosis, e.g. epididymitis, spermatocele, hydrocele, inguinoscrotal hernia, etc.

Have you had symptoms from your testes such as pain and swelling?

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Anders Mark Christensen (50 minutes later)

HI

They are sometimes a bit tender when tapped - my doctor palpated the epid. and they hurt. I don't think any swelling. I do alot of bike riding.

thanks again
XXXXXXX

Answered by Dr. Anders Mark Christensen (14 hours later)

Brief Answer:
I suggest an ultrasound

Detailed Answer:
Hi, again XXXXXXX

Bike riding certainly can cause testicular tenderness, but an ultrasound can help diagnose any pathology. It sounds completely benign, but I suggest an ultrasound to be sure.

Best wishes.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Kampana