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A 32-year-old member asked:

What is a common cause of swelling in the scrotum behind testicles? it gets worst after ejaculating, but better with advil (ibuprofen). is it affected by cialis?

3 doctor answers9 doctors weighed in
Dr. Ray Holt
Dr. Ray Holtanswered
Family Medicine 28 years experience
Likley epididymitis: The epididymis collects and warehouses sperm. It is very prone to getting inflammed and swollen. Antiinflammatories like advil (ibuprofen) help, and any activity like sex will make it hurt more. Cialis should have no effect. Other less likely causes to your condition would be fluid from a hydrocele or hernia.
Dr. Kristin Kozakowski
Urology 18 years experience
I also recommend getting a urine culture because the epididymis can also become infected from urinary pathogens or from STDs. An ultrasound is also indicated to rule out a tumor causing the swelling.
Dec 29, 2011
Dr. Ray Holt
Dr. Ray Holt commented
Family Medicine 28 years experience
Provided original answer
Agreed
Dec 29, 2011
Dr. Slade Suchecki
Family Medicine 18 years experience
Consider a testicular torsion in an acute setting and an ultrasound will help to differentiate this as well
Dec 31, 2011
Dr. Richard Levin
Urology 32 years experience
Get a sonogram: Any painful testos or swollen testis needs a complete evaluation for tumor, epididymitis, and/or spermatocoel- hydrocoel.
Dr. George Klauber
Specializes in Pediatric Urology
Epididymis: Epididymis lies behind the testis and can swell after ejaculation. Advil (ibuprofen) helps so it's associated with pain. You may have a blockage in either an epididymal duct or vas, or a spermatocele cyst. Should not be affected by cialis. Are you mature, as you are taking cialis, in which case you might benefit from surgical removal of epididymis. Tumor is very unlikely.

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Last updated Apr 21, 2018

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