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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Swelling In Testicle

I have very mild pain & swelling in my left testicle and its been there almost 4 months.first one month the pain was little more then decreased and its constant now.
i took 3 antibiotics
3 times scrotal ultrasound ( result shows everything is normal)
Bladder ultrasound ( normal)
kidney ultra sound was also normal
kidney ureter bladder x-ray is normal and no stone found
prostate ultrasound also done and it is not enlarged and no prostatitis.
I went to chiropractor and no bone and disc problem.
Blood and urine test is negative ( i have done 3 times)
No chills or fever or nausea or vomitting
i did all stretches and it does not limit any activies
semen analysis done no white blood cell found and count ,motility and morphology and vitality is normal.
My semi hard pennis bent and falling on the right thigh side and after full erection it stand stright .when the erection is semi hard its falling on right side....
no pain in ejaculation and semen colour is white.
no discharge in pennis so far and no blood in urine so far(urine looks cristal clear)

I do go frequent urination with mild burning sensation when i urinating .
my left testicle swells in epididmitis area and hits the thigh when i walk. Mild on and off set pain radiate to left hip and lower back. testicle swelling also on and off set.
when testicle swells there is little redness and when i touch no pain or itching ....
doctor checked for hernia as well and they put the finger in groin area while i cough and they said this is not hernia. I feel no pain when i lift heavy object or cough or ,run and walk over 10 hours at work ....
I feel pressure and discomfort when i walk from my left testicle .
What causes my testicle discomfort .... is there still posibilities for infection or anything else....
Mon, 14 Dec 2015
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General Surgeon '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-
-Chronic and very resistant Orchitis with Urethritis with Epididymitis.
I would suggest you to have Ligase Chain Reaction to detect the Chronic Gonorrhea and Chlamydial Infection with -Culture from Urethral scrapes and Testicular aspirates for confirming any continuing hidden infection in these tissues.
-There is need to rule out the non-bacterial chronic prostatitis/with urethritis with Orchitis.For this IBS with diverticulitis/Crohons of the lower sigmoid bowel needs to be ruled out.The periprostatis / urethritis and orchitis needs to be ruled out in your case.
CT/MRI Abdomen and pelvis needed to rule out he CPPS-Chronic Prostatitis pelvic Syndrome.
-Gabapentine and Memantine may be tried along with Nitrofuranton antibiotic and with Pyridium -for all the urethritis and epididymitis and orchitis in your case as the optional treatment.
-Intra-prostatitic Antibiotics with hyaluronic acid with Vit C prostatic injections and infusions would be a boon in your case,but needs a very special follow up and evaluation for such a advanced treatment in very complicated and resistant disease which you suffer from.

Hope this reply would help you to plan further treatment with your family and specialist doctors there.



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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Suggest Treatment For Pain And Swelling In Testicle

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- -Chronic and very resistant Orchitis with Urethritis with Epididymitis. I would suggest you to have Ligase Chain Reaction to detect the Chronic Gonorrhea and Chlamydial Infection with -Culture from Urethral scrapes and Testicular aspirates for confirming any continuing hidden infection in these tissues. -There is need to rule out the non-bacterial chronic prostatitis/with urethritis with Orchitis.For this IBS with diverticulitis/Crohons of the lower sigmoid bowel needs to be ruled out.The periprostatis / urethritis and orchitis needs to be ruled out in your case. CT/MRI Abdomen and pelvis needed to rule out he CPPS-Chronic Prostatitis pelvic Syndrome. -Gabapentine and Memantine may be tried along with Nitrofuranton antibiotic and with Pyridium -for all the urethritis and epididymitis and orchitis in your case as the optional treatment. -Intra-prostatitic Antibiotics with hyaluronic acid with Vit C prostatic injections and infusions would be a boon in your case,but needs a very special follow up and evaluation for such a advanced treatment in very complicated and resistant disease which you suffer from. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS