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What Causes Painful Swollen Scrotum?

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Posted on Mon, 1 Dec 2014
Question: Hi 10 days ago my husband had a lot of pain and swelling and heat in his scrotum. To the point where he could hardly walk.
He went to the Dr's 9 days ago. Dr found a large hard lump on bottom of left testicle.
It was about half size of his testicle.
Was sent away with antibiotics and an appointment for an ultrasound as Dr didn't know what it was.
4 days after the antibiotics the swelling and hear andmost of the pain had gone. But now left with a very small hard lump that appears to be at the back of the left testicle which we are unsure of its attached to the testicle or not.
He still has pain but it's mainly an aching pain. And a feeling that someone is holding his left testicle.
His ultrasound is tomorrow but we are very anxious scared and can't relax.
Thank you
doctor
Answered by Dr. Grzegorz Stanko (25 minutes later)
Brief Answer:
Testis/epidydymis infection.

Detailed Answer:
Hello!

Thank you for the query.

I would like to ease your mind, but it is very hard not being able to examine him. Ultrasound is the key to rule testis cancer out. This is the right decision. Without this test nothing is certain.
His lump can be cyst (this is the most probable reason) or some remaining from the testis/epididymis infection (his previous symptoms and antibiotics reaction indicate that this might be an infection). Cancer is hardly possible as it does not respond to antibiotics treatment. However it is extremely important to rule it out.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (45 minutes later)
Forgot to mention that my husband had a vasectomy 6 years ago.don't know if it's of any relevance.
doctor
Answered by Dr. Grzegorz Stanko (14 minutes later)
Brief Answer:
.

Detailed Answer:
So this lump can be associated with vasectomy. It is called vasitis nodosa in such case. It is a kind of inflammatory lump in the vasa incision.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (22 minutes later)
The lump is at the bottom around the back side of the testicle could that still be the case.
doctor
Answered by Dr. Grzegorz Stanko (30 minutes later)
Brief Answer:
.

Detailed Answer:
Yes, its still possible. Ultrasound will give the best answer.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (28 hours later)
Hubby had his ultrasound tonight.
It was performed by a dr at our surgery. Good news is there is no sign of cancer in either testicle. The lump he says is coming from his tubes that have formed a tight cluster at the bottom of his left testicle. He thinks he had an infection just got to see our Dr on Tuesday to see what's next. But no cancer is present so we feel very lucky and relieved. We thank you so much for your support.
doctor
Answered by Dr. Grzegorz Stanko (2 minutes later)
Brief Answer:
.

Detailed Answer:
Good to hear that. Hope he will get well soon.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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What Causes Painful Swollen Scrotum?

Brief Answer: Testis/epidydymis infection. Detailed Answer: Hello! Thank you for the query. I would like to ease your mind, but it is very hard not being able to examine him. Ultrasound is the key to rule testis cancer out. This is the right decision. Without this test nothing is certain. His lump can be cyst (this is the most probable reason) or some remaining from the testis/epididymis infection (his previous symptoms and antibiotics reaction indicate that this might be an infection). Cancer is hardly possible as it does not respond to antibiotics treatment. However it is extremely important to rule it out. Hope this will help. Feel free to ask further questions. Regards.