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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sexual Intercourse, Testicular Swelling. Taking Antibiotics. Cyst Needs To Be Removed. Cancerous?

hello, my boyfriend and I started having sex a few weeks ago, and a week later he began to have testicular swelling . he has been to his doctor who prescribed him a weeks course of antibiotics , however it hasnt improved and he has been back since and had more antibiotics, as they think it may be a cyst that needs to be removed. if that happens, is it a serious procedure and will it affect his ability to have sex or his fertility? and how likely is it to be cancerous as thats a big worry for us? thankyou.
Tue, 24 Sep 2013
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Oncologist, Surgical,  's  Response
Firstly, your boyfriend needs to have an ultrasound of the scrotal area urgently to rule out testicular torsion, which has a similar picture. Testicular torsion is a condition in which the testis twists on itself and swells up and becomes painful. It is common after sexual intercourse. If that is the case then he will have to undergo surgery to correct the torsion (urgently), else the affected testis will become functionless. If the ultrasound shows only cyst, then getting it aspirated (with all aseptic precautions else it will get infected) is alright and not going to affect his potency. Either way cysts dont lead to cancer. If there is no cyst or torsion, then he just needs to take the antibiotics for a little longer.
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Sexual Intercourse, Testicular Swelling. Taking Antibiotics. Cyst Needs To Be Removed. Cancerous?

Firstly, your boyfriend needs to have an ultrasound of the scrotal area urgently to rule out testicular torsion, which has a similar picture. Testicular torsion is a condition in which the testis twists on itself and swells up and becomes painful. It is common after sexual intercourse. If that is the case then he will have to undergo surgery to correct the torsion (urgently), else the affected testis will become functionless. If the ultrasound shows only cyst, then getting it aspirated (with all aseptic precautions else it will get infected) is alright and not going to affect his potency. Either way cysts dont lead to cancer. If there is no cyst or torsion, then he just needs to take the antibiotics for a little longer.