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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Bilirubin Is Filled In Left Testicle Instead Of Fluid?

I had my lelf kidney removed 7 years ago due to cancer. my left testical enlarges with fluid. ived had it drained twice, this last time the fluid was dark green. the dr.checked it an it was billirubin. im scheduled for blood work an a TC scan. can you tell me what this might be caused from. my dr. has never seen this before
Tue, 19 Jan 2016
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist, i can understand your anxiety.
In cancer of left kidney, the left sided veins draining the left testis, are divided and cut, from the left kidney vein.This may cause filling of the left testis or scrotal area in very few people.This can be confirmed on a routine ultrasound doppler scan,of the scrotal area.Seeing bilirubin isn't a common finding.It needs confirmation,with microscopic examination of the fluid.After the TC scan,we'll get more information.If you're agreeable,the left testis can be removed, as a curative treatment.It has no side-effects.
You're welcome to send me reports,as a direct question,for expert opinion.
Dr.Matthew J. Mangat.
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Why Bilirubin Is Filled In Left Testicle Instead Of Fluid?

Hello and welcome to HCM. As an Urologist, i can understand your anxiety. In cancer of left kidney, the left sided veins draining the left testis, are divided and cut, from the left kidney vein.This may cause filling of the left testis or scrotal area in very few people.This can be confirmed on a routine ultrasound doppler scan,of the scrotal area.Seeing bilirubin isn t a common finding.It needs confirmation,with microscopic examination of the fluid.After the TC scan,we ll get more information.If you re agreeable,the left testis can be removed, as a curative treatment.It has no side-effects. You re welcome to send me reports,as a direct question,for expert opinion. Dr.Matthew J. Mangat.