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Swelling in scrotum post orchidectomy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   hi. i had an orchidectomy to remove my right testile today as it is tumerous. they said i could go home. the operation wouldve been finished by 1pm at latest, i woke at 4pm and was out by 5pm. since ive been home, my scrotum has swollen up, or filled with blood extremely. im very worried its not going down and the pressure keeps building accompanied by pain. if it hasnt gone down any in pressure by the morning (it 3am now) i shall ring the hospital. im asking if this is urgently wrong to be filling like a balloon with blood? im very worried..they told me to expect swelling but i didnt expect a pressurising balloon of a scrotum like this. im worried if it wont go down it might burst or bleed out my wound or penis? please help. i was trying to sleep but the pressure/pain awoke me. i can take another painkiller. but want to know i wont bleedout in the night or nething?
Doctor :   Hi
Doctor :   Dr xxxxxx here
User :   hi
Doctor :   Give me moment let me read your query
User :   ok
Doctor :   Ok
User :   what do u think?
Doctor :   Swelling is always accompanied for two days
User :   is this normal? will it go down?
Doctor :   But in your case you complian of increase in size
Doctor :   That requires medical attention
Doctor :   Yes it generally subsides in two days
Doctor :   How much increase in size have you noticed
Doctor :   Was your approach Inguinal?
User :   well its like it is filled with blood. i had a prostheses put in today too. i have been resting horizontally and i wuld expect it to go down. and they said blood in my urine would be normal but i havent had any of that. the size of my scrotum right now feels like the limit it could stretch the skin
Doctor :   Ok
User :   it was via the pelvis line if that is inguinal
Doctor :   IS it remaining the sme size from operation?
User :   no. when i woke from g.a it was barely swollen at all. when i went home after being vertical for a while from waiting for lift and then getting home, as the local (also had, assume to minimise pain) woreoff, i noticed it growing in size.
Doctor :   Are you wearing a jock strap or snug breif
Doctor :   ok
User :   the left size seems filled too, like the whoile scrotum,not just thre right where i had it. im wearing undies-briefs
User :   i will defo ring them in the morning. i just wanted to know i wont die or nething..
User :   am i ok till the morning?
Doctor :   Its not so severe
Doctor :   Nothing to worry
User :   ok
Doctor :   Just some precautions required
Doctor :   First give the region ample support
Doctor :   No standing for long/ weight lifting
Doctor :   Probably your selling will subside after rest
Doctor :   The cause for swelling as per my knowledge is due to standing for a while
Doctor :   Drinking extra fluids for the next several days, except for caffeinated and alcoholic beverages.
Doctor :   Avoiding heavy lifting, and vigorous exercise until the follow-up appointment with the doctor.
Doctor :   Wearing a jock strap or snug briefs to support the scrotum for two weeks after surgery
Doctor :   All the above should definitely help you
User :   what i was woriesd about n hence ask here, is the chord that should be stopped blood flow is not? and thast the body cant purge it.. it can defo get rid of it thogh yes?
Doctor :   Ok
Doctor :   When is next follow up planned
User :   with urologise, a month. but i will ring either them or hospital tomorrow
Doctor :   Ok
Doctor :   I will advise you to ring up if you find further increase in size
User :   if worst case, the blood can purge with urine yes? if so then im relieved
Doctor :   But some amount of swelling is ok, as i am not able to examine you i dont get the exact picture of your condition
Doctor :   Blood in urine follwing surgery is normal for 3 days
User :   yes fair enogh. i was just very worried
User :   cos its so swollen. i didnt expect this muich. but thatnkyou
Doctor :   You dont have severe dragging pain with associated numbness
User :   um
Doctor :   If you have more of numbness associated then do contact your urologist
Doctor :   Follow the precautions suggested
Doctor :   You will get well soon
User :   ok. thanks forur help
Doctor :   Thanks for consulting me
Doctor :   Wishing you speedy recovery
Doctor :   Bye for now'
User :   bye
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