Doctor insights on:
What Can Be Expected After Treatment For Testicular Torsion
Small groin incision: Incision is made in the groin to secure blood supply from testicle before testicle is pulled up in to groin & out of the incision, to prevent spread. You will lose the affected testicle, which can be replaced with a prosthesis, if this is important to you. Post-operative pain should not be severe. Further treatment by radical lymph node dissection depends upon cancer type &/or nodal involvement. ...Read more
Very little time.: If pain persists after manual testicular detorsion you must be concerned that spermatic cord has not been completely untwisted. Possible to get some relief after partial detorsion when cord is still 180 degrees twisted. Testicular pain should be much relieved by the time the anesthetic has worn off after surgical detorsion, and pain gone within a 2 - 3 days. Will be tender for a few more days. ...Read moreSee 1 more doctor answer
What is the right treatment for scrotal wall dermatitis? What precaution can be taken to have early recovery?
Here are some ...: Largely, the Rx for epididymitis is based on indirect evidence by history and physical exam since epididymis is inaccessible for bacterial documentation; for men with clinical suspicion of STD-related urethritis, treat them for gono / chlamydia, etc.; for men with bacterial UTI, treat them with common antibiotic for bacterial UTI. Duration of Rx is about 7-10 days; Sx resolved in 1-4 wks; but ... ...Read more
Atrophy testis: Unfortunately this cannot be reversed. The affected testis will be atrophic and small when compared to the normal side. ...Read more
Minor birth defect: Approximately 1 - 2% of boys have testicular maldescent requiring surgery. 3% of full-term baby boys ; 30% of preemies., most descend spontaneously by age-6-months. Some have udts following hernia surgery. Surgery indicated for non-palpable testes to reduce slight risk of cancer in later life, maximise fertility potential, psychologic to achieve normal appearance ; reduce risk of trauma or torsion. ...Read more
Inflammation of testicles post diverticulitis surgery. What can be done for relief? Is it life threatening ? How long will it take to return to normal
See your doctor: There are a few things that can cause this, most are absolutely benign and it will go away. However, without seeing it and knowing the full story, my recommendation to you is see your doctor immediately to be safe. There are a few things that can become bigger problems if left untreated. ...Read moreSee 1 more doctor answer
After treatment for testicular cancer with etoposide and cisplatin can you develop a delay in gastric emptying? Will this go away?
Good Q, but...: First, I would like to salute you for well coping with the care for testicular cancer. However, there would be no straight answer to your Q since life is a one-way street of accumulation, modification, & continuation. Hence, discuss this with your doc; that is most logical to do. Besides, exploring more on life reality will help further on how to cope as in http://formefirst.com/onLifeBasics.html. ...Read moreSee 1 more doctor answer
How soon after a 7 day course of provera (medroxyprogesterone) can a total thyroidectomy be performed? Can the surgery be done soon before or during the provra treatment?
Anytime: Hi. There is no relationship between when you take Provera and have a thyroidectomy. Since the generally accepted indication for total thyroidectomy is thyroid cancer or a strong suspicion of it, keep track of your priorities. The anesthesiologist and the surgeon will go over what meds you're taking, but they will NOT be concerned about medroxyprogesterone. Good luck! ...Read more
Hormone replacement: First make sure you have a hormone imbalance. A single testicle can provide all the hormone you need and fertility, in most cases. The urologist who performed the orchidectomy can help you determine if you have an imbalance and then provide testosterone. You do need normal hormones, so get professional help. This is a treatable problem. ...Read more
After testicular torsion surgery, will the testicular still be able to move about? Will there it feel any different after surgery?
Just fine. Still...: After healed orchiopexy (fix) or orchiectomy (removal), usually, you will not feel any difference, but personal wide difference in anxiety, expectation, and pain threshold makes postoperative pain and ache varying highly. But the the fixed testis still can move about like a normal one but no more self-twisting. ...Read moreSee 1 more doctor answer
Varicocele: Most common therapy for varicocele is a varicocelectomy either through an open approach or a laparoscopy. Alternatively, embolization of a varicocele can also be performed as well. The basic concept is a disruption of the venous back flow to the testicle. www.peedoc.com @drhtay. ...Read moreSee 2 more doctor answers
What is the treatment for pituitary apoplexy?And what should be done for recurring head aches after diagnosis?
HORMONES: i AM ASSUMING YOU HAVE A PITUATARY ADENOMA OR A LESION WHICH HAS KILLED YOUR PITUITARY. IF YOU HAVE A HYPERFUNCTIONING ADENOMA YOU WILL NEED TO SUPPRESS IT, PERHAPS USING BROMOCRIPTINE. YOU WILL LIKELY NEED HORMONE REPLACEMENTS AS WELL PLEASE DISCUSS WITH YOUR DOCTORS, NEUROSURGEONS AND ENDOCRINOLOGISTS. RECURRENT HEADACHES MAY BE SECONDARY TO THE LESIONS GROWTH ...Read more
How many days after microsurgical varicoceleelectomy surgery do i have to wait for the pain in scotrum caused by the varicocele to disapear?
One or two weeks: The Pain should subside slowly. Most surgical procedures take a couple of weeks to heal well. So I expect the pain to diminish slowly starting one week after surgery. ...Read more
Had surgery for testicular torsion before, got sudden pain in testical again whilst at work, I don't want another op shall I go to e.r?
Or see the urologist: If a guy has no other reason for symptoms, and he has sudden or severe pain in the scrotum (the sack that contains the testicles), with swelling of the scrotum, abdominal pain, nausea, or a testicle that hangs higher than normal or at an unusual angle... he could have testicular torsion and needs to get to the emergency room now. If symptoms are quite mild, a primary doctor may examine him first. ...Read more
Does no severe pain rule out regular testicular torsion? (not referring to intermittent testicular torsion since that doesn't need immediate surgery)
It occurs at any age: Testicular torsion is an extremely painful emergency condition in which the testicle is not anchored properly in the scrotum. The testicle can twist so that the blood supply is cut off or reduced causing sudden severe pain and swelling. It can occur at any age but is most common in young children and teenagers. ...Read more
Unclear, but...: Real reason is unclear, but fact/experience tells it occurs in men with inborn poor fixation to the sac so to form so-called bell-clapper deformity of testis. While its peak age around 15-19, it may occur at any age. Based the timing of its occurrence, it has been construed that hyperactivity of cremasteric muscles of spermatic cord may be prone to incite its twisting. ...Read more
Is it possible that testicular torsion can't cause any pain or because its twisted it causes a severe pain?
Always with pain...: Testicular torsion always comes with pain relatively proportional to the degree of twisting and subsequent sequential compromise to the lymphatic, venous, and arterial circulations and its resultant swelling and degree of tissue injury with ischemia to necrosis. ...Read moreSee 1 more doctor answer
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
Get checked: Testicular torsion is uincommon at your age, however does occasionally happen. You can self test with the testicle twist manuever. This involes twisting the testicle inwards (like closing a book) & continue to twist round & round until it's painful. Pain must be identical to previously occurring testicular pain to be labeled intermittent testis torsion ...Read more
Pain from torsion: Typically pain from torsion lasts about 6 hours. Then, once the testis tissue has died, the pain goes away. It's imperative to seek immediate medical care if you have severe pain in a testicle. Time to save it is limited. ...Read more
High alert /good Hx: The picture of acute one-way course of full-blown testicular torsion has been the most common description in textbook. But any man with intermittent testicular pain of acute onset with highly variable intensity, duration, ; interval for months to years (even up to 10-15 yrs) with nausea ; referring pain in the groin deserves an urgent assessment for intermittent torsion with spontaneous de. ...Read moreSee 1 more doctor answer
Toesion: Twisting of testicle blood supply. Very painful; go to er immediately if sudden testes pain could be torsion. ...Read more
Pain: Emergent surgery is needed to explore testis through scrotum and fix the affected testis if salvageable as well as the opposite one; the time window for saving torsed testis is about 6-8 hours, so go in a hurry. If the torsed testis cannot be saved, remove it (orchiectomy). Postop pain and swelling are expected and usually resolved nicely after the worst pain over the first/second postop days. ...Read more
Testicular torsion: Torsion of the testis refers to a twisting of the testis and spermatic cord resulting in a choking of the blood vessels to and from the testis. It is a true emergency as the testis can essentially die if not corrected within a few hours. The condition requires a congenital abnormality of the mesentary suspending the testis in the scrotum. As a result there is not much you can do to prevent. ...Read more
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