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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen, Painful Testicles, Sore Epididymis, Lower Abdomen Pain. Vasectomy Done. Prescribed Ciprofloxacin. Epididymitis Test Negative. Reason?

Hi, for the last 7 days i have had a swollen right testicle with pain and soreness from the epididymis, also had lower right abdominal aching and a feeling of naausea but havn't actually been sick. I had a vasectomy 4 months ago and when i went to see my doctor on tuesday he said he thinks its epididymitis and did some urine samples and gave me some antibiotics called ciprofloxacin...Since then when i phoned for my results my tests for epididymitis have come back negative... I now also seem to have a pea sized lump on the top of my epididymis which is painful when touched...I also have started having aching pains in my bottom... Could all this still be epididymitis caused by the vasectomy, or would the tests have shown this?

Thanks.
Tue, 20 Aug 2013
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General & Family Physician,  's  Response
Hello.Epididymitis is a common complication in people
with vasectomy.Ciprofloxacin 500 mg twice a day, 10 days, is widely used in the treatment of epididymitis.To have a pea sized lump on the top of your epididymis is normal.Only if a week after finishing the antibiotic you have pain and lump on the epididymis would be necessary to do an testicle ultrasound to rule out other diagnosis.I wish you good health.
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Swollen, Painful Testicles, Sore Epididymis, Lower Abdomen Pain. Vasectomy Done. Prescribed Ciprofloxacin. Epididymitis Test Negative. Reason?

Hello.Epididymitis is a common complication in people with vasectomy.Ciprofloxacin 500 mg twice a day, 10 days, is widely used in the treatment of epididymitis.To have a pea sized lump on the top of your epididymis is normal.Only if a week after finishing the antibiotic you have pain and lump on the epididymis would be necessary to do an testicle ultrasound to rule out other diagnosis.I wish you good health. (If the answer has helped you, please indicate this)