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Is Blood In Semen Followed By Testicle Pain A Serious Concern Long After Recovering From A Hydrocelectomy On The Left Testicle?
Question: I had a hydrocelectomy years ago on left testicle. Last week there blood in semen. Two days later after next orgasm left testicle became painful, been in pain since then. What's cause and what can be done
Brief Answer:
Clinical evaluation, investigations and proper treatment asap
Detailed Answer:
Hi,
Thanks for your query, an elucidate one.
Noted the history well and understood the concerns.
Hydrocelectomy is in no way connected to the present problem.
Blood in semen along with pain in the left testicle indicates that there may be an inflammation of epididymis and.or testicle.
This can be secondary to urinary tract infection with or without prostatitis.
With the age of 63, we need detailed evaluation as follows:
Tests of blood for CBC, sugar, kidney function and as advised, PSA that is prostate specific antigen.
Tests of Urine: routine, microscopy, culture and sensitivity.
Ultrasonography of abdomen for genitourinary system, of scrotum with color doppler mode also.
Per-rectal digital examination, clinical examination of scrotum.
Tests of Semen.
Consult your Doctor, get investigations done, get a reference for an Urologist for proper diagnosis and management.
All these things asap.
I hope this answer helps you for an early and proper diagnosis and proper management.Till then take an anti-inflammatory medications with painkiller property like Ibuprofen if it suits you.
Scrotal support.
Plenty of oral fluids.
Antibiotics best be started after the urine is given for tests to get proper results.
Take care.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
Clinical evaluation, investigations and proper treatment asap
Detailed Answer:
Hi,
Thanks for your query, an elucidate one.
Noted the history well and understood the concerns.
Hydrocelectomy is in no way connected to the present problem.
Blood in semen along with pain in the left testicle indicates that there may be an inflammation of epididymis and.or testicle.
This can be secondary to urinary tract infection with or without prostatitis.
With the age of 63, we need detailed evaluation as follows:
Tests of blood for CBC, sugar, kidney function and as advised, PSA that is prostate specific antigen.
Tests of Urine: routine, microscopy, culture and sensitivity.
Ultrasonography of abdomen for genitourinary system, of scrotum with color doppler mode also.
Per-rectal digital examination, clinical examination of scrotum.
Tests of Semen.
Consult your Doctor, get investigations done, get a reference for an Urologist for proper diagnosis and management.
All these things asap.
I hope this answer helps you for an early and proper diagnosis and proper management.Till then take an anti-inflammatory medications with painkiller property like Ibuprofen if it suits you.
Scrotal support.
Plenty of oral fluids.
Antibiotics best be started after the urine is given for tests to get proper results.
Take care.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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