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What Causes Scrotum Swelling After A Orchidectomy?

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Posted on Mon, 21 Apr 2014
Question: Hi, I have undergone orchidectomy on 19th March. My right testes which was swollen is removed and sent to pathologist. My scrotum is swollen to a size of more than a big orange. The skin around penis is also swollen. Does sitting and standing increases the selling. Kindly advise. Regards, XXXXXXX
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Answered by Dr. Dr. P. T. Patil (28 minutes later)
Brief Answer: Swelling could be due to Haematoma. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have undergone Orchidectomy for swelling of the Rt Testicle and has developed swelling of the scrotum and penis after surgery. This is most likely to be due to haematoma and needs to be confirmed by doing Ultrasound scanning of the scrotum.If confirmed you need to drain the haematoma . You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. P. T. Patil (10 hours later)
The testes specimen was sent to pathologist and results are awaited. Pathologist says that some cell are seen proliferating and some are dying(necrosis). He wants to refer to another lab in cancer hospital. What could be the reason. I am healthy person through my life. I am border line hypertension patient and recently found to be diabetic.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer: Wait for Histopathology report Detailed Answer: Hello Thanks for follow up.Please wait for Histopathology report.The reason for asking second opinion may be that the pathologist may be suspecting it to be cancer of the Testis . Further treatment will depend upon the H.P report and final diagnosis. Thanks and Regards. Dr.Patil.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

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What Causes Scrotum Swelling After A Orchidectomy?

Brief Answer: Swelling could be due to Haematoma. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have undergone Orchidectomy for swelling of the Rt Testicle and has developed swelling of the scrotum and penis after surgery. This is most likely to be due to haematoma and needs to be confirmed by doing Ultrasound scanning of the scrotum.If confirmed you need to drain the haematoma . You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.