Doctor insights on:
Infection: These are infections of the structures within the scrotum, the testis (orchitis), the tubular structure adjacent to the testis (epididymitis), or both (epididymo-orchitis). In young men these infections are often sexually transmitted, like chlamydia. Older men usually are infected with gram negative bacteria that may also cause urinary tract infections. ...Read moreSee 1 more doctor answer
Some are...: - age: torsion tends to be around puberty vs peididymits/orchitis, in young sexually active adults;std-related. - hx: torsion - acute onset and fast progress vs epididymits - slower progressive course. - voiding sx: none in torsion vs more in epididymits. - ua: normal in torsion vs pyuria in eoididymitis. - timely doppler us: torsion with poor a. Flow vs diffuse increase flow in epididymits. ...Read more
Possibly: Men who have both testes undescended in inguinal canal will almost definitely be infertile. However most men with a single fully descended testis are fertile, even if the opposite testiscle is in the inguinal canal. ...Read more
No, but...: Varicocele is an inborn anomaly of pampiniform venous plexus present in some 15%pf men with some 90% on left side & 10% on both, but bearing no clinical significance in most of cases. Besides, varicocele has no direct connection with epididymitis although it may cause some symptoms like fullness or ache after a long standing like that in the lower legs with varicose veins. Best... ...Read more
Here are some ...: In experienced professional mind, awareness, & alert, a detailed history pertaining to the onset, degree, duration, interval, and progress of testicular pain in association with possible voiding Sx plus physicals & timely tests such as urinalysis with/without scrotal US will be reasonably easy to pinpoint their diagnoses. In fact, most times, imaging studies are not practically needed despite its ...Read more
Depends on age.: Testicular torsion has two peak incidences: a small one in the neonatal period and a large one during puberty, but it can occur at any age. The incidence is estimated to be 1 in 4000 in males younger than 25 years old. Approximately 65% of cases occur in boys between the ages of 12 and 18 years. ...Read more
Undescended testicle: Depends on the age of the child 0-6months do nothing, observe for spontanoub descent at 6 months if both are still undescended and palpable you may try HCG hormone shots , (the dose is based on the weight ). There is 25-30% chance of response. Alternatively bilateral orchidopexy (surgery) is reccomended, the testicles should be in the scrotal sac by one year of age. ...Read moreSee 2 more doctor answers
Scrotal pain: This question can't be answered properly on this forum. I recommend that you seek immediate medical attention to ensure that you don't have torsion. Torsion is time-sensitive and can only be diagnosed by physical exam and either a scrotal ultrasound or testicular scan. Seek immediate medical attention is my best advice to you. www.peedoc.com @drhtay. ...Read more
Different in...: Spermatic cord torsion is extravaginal with its twisting hinge inside inguinal canal in prenatal or newboens; the commonly discussed testicular torsion is intravaginal with its twisting hinge below external inguinal ring in adolescents and adults with its peak around 15-19. ...Read moreSee 1 more doctor answer
Scrotal & abdo aching pain both sides. Swollen testis
veins. Uvsound shows no Varicocele, torsion, epididymis, UTI or kidney/appendix infection. What?
Possibly: Some of the organisms that cause epididymitis can be acquired sexually. But not all cases are sexually transmitted, in fact in younger boys most are not. Most causes of acute epididymitis are postinflammatory (after a viral infection). Gonorrhea and mycoplasma are two sexually transmitted causes in adults. ...Read more
Had testicular cancer in left testicular. & testicular removed. Yesterday diagnosed hydrocele in right testicular. Will it become a testicular cancer?
Different entities: I'm glad the original testicular cancer is history. If you've had a good imaging study and there's no testicular cancer on the right, i would not worry about the hydrocele -- these are extremely common. You're correct to believe that a second primary in the opposite testis is somewhat more common than random chance. Ask your physician about banking sperms. Good luck. ...Read more
Dumb luck: A few rare genetic syndromes put you at risk and there's a slight family tendency. A make-no-sense article a few years back blaming exercise probably reflected reporting bias. If you have a cryptorchid testis and it's not been fixed when it should have been, the risk is much higher. White guys are at the greatest risk, no one knows why. ...Read moreSee 1 more doctor answer