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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Swelling In The Right Testicle?

I am a 70 year old male who had a gall bladder removal. Upon recovery I had severe pain in the abdominal area which subsided almost completely with IV pain medication. After several hours he pain medication wore off but I had pain in my right testicle with pronounced swelling. At 12 hours post surgery the testicle remained swollen but the pain was markedly reduced but the swelling remained. I know of no trauma to the groin area that could account for the pain and swelling. What are likely diagnoses?
Mon, 10 Jul 2017
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General Surgeon,  's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.
This type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances.

MAsturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy.
I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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What Causes Pain And Swelling In The Right Testicle?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can. This type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.