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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of Epididymitis Or Spermatocele?

Hi Doctor, I was wondering if I have epididymitis or spermatocele? Almost every day or every other day I feel a lump under my testicle that comes and goes. Occasionally, I feel a lump on the side of my right testicle that also comes and goes. This started happening almost two months ago and was having these effects after I had a urinary retention where urine refluxes back. Do you also know if trimethoprim will help resolve this issue? Please respond asap. Thank you.
Wed, 30 Sep 2015
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Urologist,  's  Response
hello
Thanks for query .
You have a doubt that you have either Epididymitis or Spermatocele.

Epididymitis is a painful swelling of the epididymis that occurs due to infection of epididymis and on self examination can not be palpated separately from the testicle where as Spermatocele is a painless oval shaped lump palpated above and separate from the testis .

The diagnosis can be confirmed by clinical examination by a qualified Genral surgeon and doing Ultrasound Scanning of scrotum.

If it is Epididymitis it can get cured with antibiotic like Trimethoprim

Spermatocele is a benign cyst and does not require treatment .

Dr.Patil.

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What Are The Symptoms Of Epididymitis Or Spermatocele?

hello Thanks for query . You have a doubt that you have either Epididymitis or Spermatocele. Epididymitis is a painful swelling of the epididymis that occurs due to infection of epididymis and on self examination can not be palpated separately from the testicle where as Spermatocele is a painless oval shaped lump palpated above and separate from the testis . The diagnosis can be confirmed by clinical examination by a qualified Genral surgeon and doing Ultrasound Scanning of scrotum. If it is Epididymitis it can get cured with antibiotic like Trimethoprim Spermatocele is a benign cyst and does not require treatment . Dr.Patil.