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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Benign Prostatic Hyperplasia, Swollen Testicles, Soreness, Scrotum Hangs Loose, Painful. What Can Be Done?

I am a male, 73 yrs. old, with BPH. My problen is that my left testicle gets swollen and feels real sore about once a week. Normally my scrotum usually hangs relatively lose and there is no pain. But when I shower and wash my genitels, the scrotum tightens up and the left testicle becomes swollen and is painful. This occurs also just before and after sexual intercourse. This pain is similar being sexually aroused, having an erection and not ejaculaing. This morning I noticed my scrotum was lose with a slight pain in my left testicle. When I examined my testicles, they both felt smaller in size (not swollen) but I could feel a round hard marble shape tissue items at the bottom end of each testicle. When I checked a picture in my medical book, I assume it was the testis area of the testicle. Why does my left testicle get swollen and sore? What are the round hard tissues at the bottom of my testicles?
Tue, 12 Nov 2013
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Urologist,  's  Response
Hello
Thanks for your query.Based on the facts that you have posted it appears that you have benin enlargement of prostate with swelling of the testicles.

The round mass that you palpated at the bottom the testis is inflammed Epididymis.(Epididymitis)

The Epididymo Orchitis that you have is secondary to prostatitis due to enlarged prostate.

Please consult qualified Urologist for clinical and digital rectal examination and further investigations and treatment.

In the mean while,take broad spectrum antibiotics along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.and later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute .
Dr.Patil.

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Benign Prostatic Hyperplasia, Swollen Testicles, Soreness, Scrotum Hangs Loose, Painful. What Can Be Done?

Hello Thanks for your query.Based on the facts that you have posted it appears that you have benin enlargement of prostate with swelling of the testicles. The round mass that you palpated at the bottom the testis is inflammed Epididymis.(Epididymitis) The Epididymo Orchitis that you have is secondary to prostatitis due to enlarged prostate. Please consult qualified Urologist for clinical and digital rectal examination and further investigations and treatment. In the mean while,take broad spectrum antibiotics along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.and later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute . Dr.Patil.