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Dr. Andrew Rynne

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What Causes Tenderness In The Testicle After Laparoscopic Surgery?

My left testicle is a little tender and sore. I had surgery (a Laproscopic Sigmoid Colectomy) on August 1. Could the soreness be related to the surgery.? I also thought at one time, a few weeks ago, that I may have a bladder infection ( I had some stinging while urinating) as a result of having a catheter during surgery. Could a bladder infection cause sore testicles?
Wed, 10 Feb 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history of Laparoscopic Signoid colectomy and has catheter in the bladder.
The pain in the testicle can be due to infection that has spread from the urethra or bladder in a retrograde manner to cause epididymo-orchitis.
Please get ultrasonography and color doppler of the scrotum and the abdomen.
Urine culture and sensitivity.
Get a proper course of an antibiotic and you will be fine.
Apply scrotal support.
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General Surgeon Dr. Mukund Savaskar's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Post- Catherization Urethritis with Epididymitis / Orchitis causing sore testes in your case.
Laparascopy as such has no causative role, but the accompanying catheterization with burning / stinging urination is caused during laparascopic post -surgery stay in hospital.
Proper treatment of this infection needs second opinion from Urologist.
As this condition needs evaluation of prostatitis / urethritis / epididymitis and its special long term antibiotic /Pyridium / Tamsulosin treatments for long term remissions,which is a difficult task to achieve in your case.
USG / CT study of the prostate/epididymis / and Contrast CT study and urethrography would be needed to assess and treat the afflictions accordingly.
Second Opinion from Urologist would resolve this confusion in your mind,as the prolonged pain is causing worry and anxiety to You,which is but natural and I can understand your concerns for it.
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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What Causes Tenderness In The Testicle After Laparoscopic Surgery?

Hi. Thanks for your query. Noted your history of Laparoscopic Signoid colectomy and has catheter in the bladder. The pain in the testicle can be due to infection that has spread from the urethra or bladder in a retrograde manner to cause epididymo-orchitis. Please get ultrasonography and color doppler of the scrotum and the abdomen. Urine culture and sensitivity. Get a proper course of an antibiotic and you will be fine. Apply scrotal support.