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Posted on Thu, 11 Apr 2019
Question: Welcome to 'Ask a Doctor'. Please type your question here...I went to my GP last Wednesday & he diagnosed epidymitis orchitis & thought there might be some fluid there he referred me to a urologist how long before I get a appointment
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Follow up: Dr. Ornela Ademovi (0 minute later)
Welcome to 'Ask a Doctor'. Please type your question here...I went to my GP last Wednesday & he diagnosed epidymitis orchitis & thought there might be some fluid there he referred me to a urologist how long before I get a appointment
doctor
Answered by Dr. Ornela Ademovi (1 hour later)
Brief Answer:
Not an emergency but needs prompt treatment

Detailed Answer:
Hello,

I understand your concern. Epididymitis and orchitis are an inflammation/infection of the tube at the back of the testicle and infection of the testicles. You will have a urine test, a swab for STIs and an ultrasound done to confirm the diagnosis. Even though it is not an emergency, this infection requires treatment as soon as possible in order to avoid possible consequences. You should get an appointment within the next 24 hours. If you don't, you need to call your doctor and get an immediate referral.

I hope this answers your query. Let me know if you have further questions.

Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Ornela Ademovi (0 minute later)
Brief Answer:
Not an emergency but needs prompt treatment

Detailed Answer:
Hello,

I understand your concern. Epididymitis and orchitis are an inflammation/infection of the tube at the back of the testicle and infection of the testicles. You will have a urine test, a swab for STIs and an ultrasound done to confirm the diagnosis. Even though it is not an emergency, this infection requires treatment as soon as possible in order to avoid possible consequences. You should get an appointment within the next 24 hours. If you don't, you need to call your doctor and get an immediate referral.

I hope this answers your query. Let me know if you have further questions.

Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ornela Ademovi (1 hour later)
I read that chronic epidymitis can lead to a danger of losing a testicle & cancer should I be worried
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Follow up: Dr. Ornela Ademovi (0 minute later)
I read that chronic epidymitis can lead to a danger of losing a testicle & cancer should I be worried
doctor
Answered by Dr. Ornela Ademovi (9 minutes later)
Brief Answer:
Abscess, spread of infection and infertility

Detailed Answer:

The most common complications of epididymitis are the collection of pus (abscess), a spread of infection to other parts of the body, chronic pain, as well as destruction of the tube behind the testicles, leading to infertility.

Cancer and loss of a testicle are not common complications of chronic epididymitis. Antibiotic treatment is needed as soon as possible.

I hope this answers your question. Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Ornela Ademovi (0 minute later)
Brief Answer:
Abscess, spread of infection and infertility

Detailed Answer:

The most common complications of epididymitis are the collection of pus (abscess), a spread of infection to other parts of the body, chronic pain, as well as destruction of the tube behind the testicles, leading to infertility.

Cancer and loss of a testicle are not common complications of chronic epididymitis. Antibiotic treatment is needed as soon as possible.

I hope this answers your question. Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ornela Ademovi (37 minutes later)
I had a attack back in may that was treated with antibiotics & I had a ultrasound scan the the swelling went down but not totally away I had another attack in January the same happened I’m now worried that I’ve done myself serious damage like cancer if the danger of losing a testicle
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Follow up: Dr. Ornela Ademovi (0 minute later)
I had a attack back in may that was treated with antibiotics & I had a ultrasound scan the the swelling went down but not totally away I had another attack in January the same happened I’m now worried that I’ve done myself serious damage like cancer if the danger of losing a testicle
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Follow up: Dr. Ornela Ademovi (30 hours later)
I’m sure my GP said 2 weeks before I recieved an appointment it’s now 10 days how much longer should I expect to wait
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Follow up: Dr. Ornela Ademovi (0 minute later)
I’m sure my GP said 2 weeks before I recieved an appointment it’s now 10 days how much longer should I expect to wait
doctor
Answered by Dr. Ornela Ademovi (2 days later)
Brief Answer:
Risk of chronic epididymitis

Detailed Answer:


Testicular cancer is highly unlikely, and this is not something you should worry about, however, it is not uncommon for epidymitis and orchitis to become chronic (recurring), therefore a timely treatment is very important.

You should have received an appointment by now and I don’t understand why it has taken this long. Unless your doctor has already given you a prescription for antibiotics and you do not see and improvement in your symptoms, I recommend you call your doctor for a reminder.

I hope this answers your query. Let me know if I can assist you further.

Take care



Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Ornela Ademovi (0 minute later)
Brief Answer:
Risk of chronic epididymitis

Detailed Answer:


Testicular cancer is highly unlikely, and this is not something you should worry about, however, it is not uncommon for epidymitis and orchitis to become chronic (recurring), therefore a timely treatment is very important.

You should have received an appointment by now and I don’t understand why it has taken this long. Unless your doctor has already given you a prescription for antibiotics and you do not see and improvement in your symptoms, I recommend you call your doctor for a reminder.

I hope this answers your query. Let me know if I can assist you further.

Take care



Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ornela Ademovi (1 hour later)
I had my last attack 2 months ago & was treated with antibiotics & had a ultrasound the ultrasound showed nothing but the epidymitis the pain had gone but the swelling had reduced to a 1/3 I’m worried that I have chronic epidymitis & will end up with either cancer or losing a testicle
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Follow up: Dr. Ornela Ademovi (0 minute later)
I had my last attack 2 months ago & was treated with antibiotics & had a ultrasound the ultrasound showed nothing but the epidymitis the pain had gone but the swelling had reduced to a 1/3 I’m worried that I have chronic epidymitis & will end up with either cancer or losing a testicle
doctor
Answered by Dr. Ornela Ademovi (3 days later)
Brief Answer:
Chronic epididymitis a strong possibility

Detailed Answer:

One of the most common consequences of epididymitis is indeed recurrence, or chronicity and this seem to be the case here, however only the specialist (urologist) will be able to confirm this and give you a most definitive treatment based on the test findings. Please contact your doctor to get an appointment as soon as possible. I wouldn't worry too much about the possibility of getting cancer or losing a testicle, as this is highly unlikely with epididymitis.

I hope this answers your query. You are welcome to follow up with me once you have seen the urologist.

Take care.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Ornela Ademovi (0 minute later)
Brief Answer:
Chronic epididymitis a strong possibility

Detailed Answer:

One of the most common consequences of epididymitis is indeed recurrence, or chronicity and this seem to be the case here, however only the specialist (urologist) will be able to confirm this and give you a most definitive treatment based on the test findings. Please contact your doctor to get an appointment as soon as possible. I wouldn't worry too much about the possibility of getting cancer or losing a testicle, as this is highly unlikely with epididymitis.

I hope this answers your query. You are welcome to follow up with me once you have seen the urologist.

Take care.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ornela Ademovi (2 hours later)
I called my doctor last Monday who told me to ring the hospital which I did they said I was on the waiting list for the next clinic but they didn’t say when that would be
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Follow up: Dr. Ornela Ademovi (0 minute later)
I called my doctor last Monday who told me to ring the hospital which I did they said I was on the waiting list for the next clinic but they didn’t say when that would be
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Follow up: Dr. Ornela Ademovi (1 hour later)
Do you think that the residual swelling will go away by itself
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Follow up: Dr. Ornela Ademovi (0 minute later)
Do you think that the residual swelling will go away by itself
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Follow up: Dr. Ornela Ademovi (2 hours later)
What tests will the urologist do on the clinic appointment
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Follow up: Dr. Ornela Ademovi (0 minute later)
What tests will the urologist do on the clinic appointment
doctor
Answered by Dr. Ornela Ademovi (3 hours later)
Brief Answer:
Follow-up consultation

Detailed Answer:
Welcome back,

Your doctor has most probably informed you that epididymitis symptoms may last up to 6 weeks and in chronic epididymitis, it may take longer than 6 weeks for the symptoms to resolve, even after antibiotic therapy has been completed.

It is possible for the swelling to go away on its own but in the meantime, I recommend bed rest, Ibuprofen to help with the pain, inflammation, and swelling, and make sure your pelvis is elevated when lying down, for better drainage and circulation.

Your doctor has referred you to a urologist in order to differentiate between infectious and non-infectious epididymitis. The later may be due to non-infectious causes which need further investigation. Depending on the findings, the urologist may order a urine test looking for positive leukocyte esterase, a stain test of urethral secretions, microscopic examination of the urine sample, urine cultures, and probably a radionuclide scanning.

Let me know if I can assist your further.

Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Ornela Ademovi (0 minute later)
Brief Answer:
Follow-up consultation

Detailed Answer:
Welcome back,

Your doctor has most probably informed you that epididymitis symptoms may last up to 6 weeks and in chronic epididymitis, it may take longer than 6 weeks for the symptoms to resolve, even after antibiotic therapy has been completed.

It is possible for the swelling to go away on its own but in the meantime, I recommend bed rest, Ibuprofen to help with the pain, inflammation, and swelling, and make sure your pelvis is elevated when lying down, for better drainage and circulation.

Your doctor has referred you to a urologist in order to differentiate between infectious and non-infectious epididymitis. The later may be due to non-infectious causes which need further investigation. Depending on the findings, the urologist may order a urine test looking for positive leukocyte esterase, a stain test of urethral secretions, microscopic examination of the urine sample, urine cultures, and probably a radionuclide scanning.

Let me know if I can assist your further.

Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ornela Ademovi (29 hours later)
If the diagnosis is chronic epidymitis what are the options to help cure it permanently
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Follow up: Dr. Ornela Ademovi (0 minute later)
If the diagnosis is chronic epidymitis what are the options to help cure it permanently
doctor
Answered by Dr. Ornela Ademovi (44 hours later)
Brief Answer:
Treatment options explained

Detailed Answer:

The first line of treatment for chronic epididymitis are anti-inflammatory medications, such as Ibuprofen (Advil) which help with the swelling and inflammation. They work best when taken in the early stages of the inflammation. If they don't work, you may need prescription pain killers which are stronger.

If all medical treatment fails, the next step is surgery to remove your epidydimis. However, this is the decision of your urologist.

I hope this answers your question. You are welcome to ask further questions.

Take care
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Ornela Ademovi (0 minute later)
Brief Answer:
Treatment options explained

Detailed Answer:

The first line of treatment for chronic epididymitis are anti-inflammatory medications, such as Ibuprofen (Advil) which help with the swelling and inflammation. They work best when taken in the early stages of the inflammation. If they don't work, you may need prescription pain killers which are stronger.

If all medical treatment fails, the next step is surgery to remove your epidydimis. However, this is the decision of your urologist.

I hope this answers your question. You are welcome to ask further questions.

Take care
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ornela Ademovi

General & Family Physician

Practicing since :2004

Answered : 725 Questions

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Welcome To 'Ask A Doctor'. Please Type Your Question Here...I

Welcome to 'Ask a Doctor'. Please type your question here...I went to my GP last Wednesday & he diagnosed epidymitis orchitis & thought there might be some fluid there he referred me to a urologist how long before I get a appointment