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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain, Swelling In Scrotum. Taking B-cin, Ultracet, Veltom-02. Ultrasound Shows Moderate Hydrocele, Vericocele In Left Testicle. Treatment?

Hi, I am a 35 years old male. I have got some pain and swelling in my scrotum for last one month. I took advice from a urologist . The doctor advised me get an Ultrasound . In ultrasound report, it was found that I had mild to moderate hydrocele and vericocele in my left ball. Also, it was found that there was an infection in it. Since then, I am taking antibiotics en al. Yesterday, I had an appointment with my doctor again, and he said there is an improvement. But, I am not feeling any substantial improvement. He prescribed me following tablets: B-cin, Ultracet and Veltom-02. Please suggest what to do. Thanks.
Tue, 28 May 2013
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General Surgeon,  's  Response
Hi ! Possibly you had inflammation of the testis (epididymo-orchitis) follwing which you have developed a mild to moderate hydrocele. This occurs due to repeated unnoticed trivial trauma to the testes while playing, walking, running, lifting any heavy weight , or even due to riding bike etc. This could be also due to a filarial infection if you are staying in a tropical region where filariasis is common. The treatment you took is all right, but at the same time you should take rest with proper scrotal support. If nothing improves, then you have to meet a surgeon who may advise you for an operative intervention.
Regarding the vericocele which may also be the reason for testicular discomfort, the extent has to be seen clinically by a Urologist who may advise you to undergo semen analysis and a doppler ultrasound of the testis. The treatment of this part is surgical.
Wishing you an early recovery.
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Pain, Swelling In Scrotum. Taking B-cin, Ultracet, Veltom-02. Ultrasound Shows Moderate Hydrocele, Vericocele In Left Testicle. Treatment?

Hi ! Possibly you had inflammation of the testis (epididymo-orchitis) follwing which you have developed a mild to moderate hydrocele. This occurs due to repeated unnoticed trivial trauma to the testes while playing, walking, running, lifting any heavy weight , or even due to riding bike etc. This could be also due to a filarial infection if you are staying in a tropical region where filariasis is common. The treatment you took is all right, but at the same time you should take rest with proper scrotal support. If nothing improves, then you have to meet a surgeon who may advise you for an operative intervention. Regarding the vericocele which may also be the reason for testicular discomfort, the extent has to be seen clinically by a Urologist who may advise you to undergo semen analysis and a doppler ultrasound of the testis. The treatment of this part is surgical. Wishing you an early recovery.