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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Cystic Mass Adjacent To Right Testes

I am obiora, am having a recurrent swelling on the right side of my scrotum. This has been occuring for about 2yrs. The sequencial ultrasound results were: a cystic mass noted adjacent to bthe right testis. This cyst has a septum and internal echoes.findings are indicative of a right sided spermatocele. Pls which anti inflammatory drug could I use
Thu, 7 Apr 2016
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query the reply of your query is-
YOu seem to suffer from Spermatocele over last 2 yrs, which is recurring.
Its due to the Epididymitis and inflammatory obstructed sperm ducts in epididymus.
Such infections are from the past STD with Chlamydia and Gonorrhea,which was incompletely treated / or un-noticed even.
Do's Suggested-
Check by LCr testing of the Spermatocele aspirate and the blood and confirm if Chlamydica /Gonorrhea is still active .Consult Urologist who would be the right person to treat your chronic and complicated case.
The Antibiotic Cover with Doxycycline x 2-6 weeks with Motrin 400 x 2 times a day would reduce the swelling.
Surgical Excision of the Spermatocele - is the only remedy to prevent its recurrence and extention of the disease to other epididymus.
Tab Serropetidase- 2 x 3 times a day x 2-6 weeks, would recoup the swelling in postop periods.
So looking in to the sensitive complaint of yours,I would suggest you to rule out other causes of such a complaints by Consulting and investigating with Urologist and Urosurgeon doctor.
It would be prudent to have physical Check from Consulting Urologist to start with/ first- before planning further investigations and treatment for it.
Other causes need to be ruled out in any case.Constant followup for long term to fix the chronic epididymitis and accompanied prostatitis would give you long remissions in time to come and would depend on meticulous followup treatment of your chronic problems.

Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.
Need to Check with Consulting Urologist and UroSurgeon- if need be, if things don't recover.

-Other causes need to be verified with your family GP /Consulting Urologist / Surgeon -Specialist doctors, as the facts may be different what you submitted.


-For this Second opinion with Urologist / UroSurgeon- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your complex health issues.

Hope this would help you to treat your health issues in the best way possible.

Welcome for any further query in this regard.
Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Remedy For Cystic Mass Adjacent To Right Testes

Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- YOu seem to suffer from Spermatocele over last 2 yrs, which is recurring. Its due to the Epididymitis and inflammatory obstructed sperm ducts in epididymus. Such infections are from the past STD with Chlamydia and Gonorrhea,which was incompletely treated / or un-noticed even. Do s Suggested- Check by LCr testing of the Spermatocele aspirate and the blood and confirm if Chlamydica /Gonorrhea is still active .Consult Urologist who would be the right person to treat your chronic and complicated case. The Antibiotic Cover with Doxycycline x 2-6 weeks with Motrin 400 x 2 times a day would reduce the swelling. Surgical Excision of the Spermatocele - is the only remedy to prevent its recurrence and extention of the disease to other epididymus. Tab Serropetidase- 2 x 3 times a day x 2-6 weeks, would recoup the swelling in postop periods. So looking in to the sensitive complaint of yours,I would suggest you to rule out other causes of such a complaints by Consulting and investigating with Urologist and Urosurgeon doctor. It would be prudent to have physical Check from Consulting Urologist to start with/ first- before planning further investigations and treatment for it. Other causes need to be ruled out in any case.Constant followup for long term to fix the chronic epididymitis and accompanied prostatitis would give you long remissions in time to come and would depend on meticulous followup treatment of your chronic problems. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Need to Check with Consulting Urologist and UroSurgeon- if need be, if things don t recover. -Other causes need to be verified with your family GP /Consulting Urologist / Surgeon -Specialist doctors, as the facts may be different what you submitted. -For this Second opinion with Urologist / UroSurgeon- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS