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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Abdomen?

2 weeks ago my husbandhad a so called spermatolectomy. ultrasound said possible malignancy. the dr made an incision on the scrotum instead of his lower ab. thank god the path report came back benign. he has been in alot of pain still to this day with alot of abdomen pain. his wbc before surgery was 12500. path report said it is not a spermatocele. what could it be? we could not shine a light through it before surgery it is on both side of scrotum. from the end of april to the end of june it grew 1 and 1/2 cm

he is 41 6'1" 192#
Tue, 11 Nov 2014
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General & Family Physician,  's  Response
Unfortunately, the details are not enough to make a diagnosis. A spermatocele is a swelling of the duct of testis and contains watery fluid containing sperms. The pathology report that mentioned that the growth is benign, will also have details of what it could really be. It could be a hydrocele which is accumulation of fluids around a testicle due to certain portions of a duct not closing (which is an embryonic structure that otherwise closes and gets cut off). Hydroceles are fairly common but not generally painful. It could be other things like epididymoorchitis or certain other painful conditions like torsion of testis but it is really hard to comment without looking at the pathology report and without examining.
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What Causes Pain In Abdomen?

Unfortunately, the details are not enough to make a diagnosis. A spermatocele is a swelling of the duct of testis and contains watery fluid containing sperms. The pathology report that mentioned that the growth is benign, will also have details of what it could really be. It could be a hydrocele which is accumulation of fluids around a testicle due to certain portions of a duct not closing (which is an embryonic structure that otherwise closes and gets cut off). Hydroceles are fairly common but not generally painful. It could be other things like epididymoorchitis or certain other painful conditions like torsion of testis but it is really hard to comment without looking at the pathology report and without examining.