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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hydrocele In The Testis Be Treated?

I am 65 years old and weigh 72 kilogram. Since many years I have hydrocele in my left testis. my left testis is about 3 times larger than right one and bit hard. I do not feel any pain, sometime I feel bit uncomfort which last for a couple of days only. Does it need treatment immediately. Please suggest, I try to avoid surgery.Thanks Dhruba Kumar
Mon, 2 Mar 2015
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General Surgeon,  's  Response
Hi / Namaskar Dhrba Kumar ji .
Thanks for your query.
Read the history and understood your problems.
You are 65 and have enlarged testis on the left side, 3 times larger than the right since many years. It is a bit hard, there is no pain bu sometimes there is a bit uncomfortable feeling. You want to avoid surgery and wants to know whether treatment is needed.

My thoughts would be considering the history provided by you are:
-Let us first confirm the cause of this enlargement. Ultrasonography and color doppler will tell us whether this is Hydrocele / pyocele / growth of testis like a cancer or what it is.

Since you are 65 and looks to be physically fir as you have not mentioned any other associated problem, I would advise you
-to get operated irrespective of the diagnosis so that 2 thing get certain.
you get rid of the enlargement as this is a disease.
-Secondly you get the diagnosis.

There is no medical treatment and do not try anything.
Surgery is not urgent but it looks you have tried to postpone it for a long time.

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How Can Hydrocele In The Testis Be Treated?

Hi / Namaskar Dhrba Kumar ji . Thanks for your query. Read the history and understood your problems. You are 65 and have enlarged testis on the left side, 3 times larger than the right since many years. It is a bit hard, there is no pain bu sometimes there is a bit uncomfortable feeling. You want to avoid surgery and wants to know whether treatment is needed. My thoughts would be considering the history provided by you are: -Let us first confirm the cause of this enlargement. Ultrasonography and color doppler will tell us whether this is Hydrocele / pyocele / growth of testis like a cancer or what it is. Since you are 65 and looks to be physically fir as you have not mentioned any other associated problem, I would advise you -to get operated irrespective of the diagnosis so that 2 thing get certain. you get rid of the enlargement as this is a disease. -Secondly you get the diagnosis. There is no medical treatment and do not try anything. Surgery is not urgent but it looks you have tried to postpone it for a long time.