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Suggest Treatment For Enlarged And Firm Scrotum

Posted on Thu, 12 Mar 2015

Question: My father, 87, has suddenly developed a very enlarged, and hard or very firm scrotum. There is no fever present. Can this wait until my appointment tomorrow with a urologist?

Answered by Dr. Manuel C See IV (5 hours later)

Brief Answer:
Suggest to bring to ER for proper evaluation.

Detailed Answer:
Good Day and thank you for being with Healthcare Magic!

I would strongly suggest to bring him to the ER where a physical examination and ultrasound can be done to determine the sudden enlarged scrotum. The most dreaded condition that we haveto rule out is a strangulated hernia which prompts emergency operation. Other condition that is not so urgent would be hydrocoele (water in the testis) and edema but this would be generalized and not localized to the testis.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (11 hours later)

Thanks.

The enlargement appears to be in the left testicle area only, not the entire scrotum.

Does this clarify anything?

We are going to the ER today, BTW.

Regards,
XXXXXXX

Answered by Dr. Manuel C See IV (28 minutes later)

Brief Answer:
Could still be hernia.

Detailed Answer:
If it's on one side only it means it's not generalized edema but could still be hernia or hydrocoele

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (45 hours later)

It turned out to be cysts.

What can you tell me about them?

I'm told they are often caused by bacteria, and an anti-biotic was prescribed, Ceftin.

Answered by Dr. Manuel C See IV (4 minutes later)

Brief Answer:
Hydrocoele

Detailed Answer:
hydrocoele ? it is water collection in the the testis. it could be secondary to infection (UTI). if it is recurrent and didn't resolve after antibiotic then surgery might be needed to excise the fluid and the capsule that traps the fluid.

Regards, Manuel C. See IV, M.D. DPBU FPUA

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar