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Dr. Andrew Rynne

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Do Swollen Testicles While Suffering From Liver Cirrhosis Need Immediate Medical Attention?

My brother has cirrhosis of the liver due to due to diabetes. He has a meld score of 11. He is on insulin. He discovered his testicles are swollen to the size of a grapefruit tonight. Should he go straight to the er or wait to see his primary physician on Monday. He has no pain.
Tue, 30 Jul 2019
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General Surgeon,  's  Response
Hi,

This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age.

This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences.

Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course.

Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Do Swollen Testicles While Suffering From Liver Cirrhosis Need Immediate Medical Attention?

Hi, This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon