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What Causes Swelling In The Testicle?
Hello, my name is Jesse. 4 months ago i noticed my right testicle swelling, I freaked out and made a doctor app, the appointment was 10 days away so I looked it up and took some amox because lets face it the pain and discomfort was too much to handle after a few days I couldn t just wait a whole week, ( the first day i noticed the swelling i had no pain at all) and i can t afford a trip to the ER. when i saw the doctor i told him i had a very brief unprotected sexual encounter and i also pulled my groin one morning on a very full balder the month prior. he took a urine sample and prescribed me and injected antibiotic and an oral one that i had to take all four pills at once, i don t remember the names of those. the pain and discomfort went away, but then came back at the same levels and would come and go. my urine sti test was messed up or not even done right the first time so i took another one after 10 days had passed on the antibiotics, that one came back clear (it was a first urine morning sample that time) So i told my doctor I still had pains and the swelling was still unresolved and tender at times, he ordered an ultrasound and that came back clear so he told me that it can take 3 months for the swelling to heal. Now going on 5 months, still swollen and tender at times, the pain is less but comes and goes much more often, but mostly dull and constant, i went to see the other doctor in my doctor s office and he didn t say much or ask much just gave me a different injection and a prx of doxy. I m 23 and ever since this started I ve been so emotionally stressed about it all, I was taking 4 beare aspirin with every meal for weeks and weeks, cut every thing but juice and water from my diet, wear briefs, bought an ice pack, take warm baths when i have the time, rarely masturbate. I found the best way to measure the relative size of my testis was to use a silver dollar, while the normal one is well with in the diameter of the coin ( about the size of a quarter) the right one is about 1/4 of an inch out of it. Here are my questions Doc, #1 is my condition now chronic due to the failure of the first treatment, #2 if it was caused by a sti bacteria could I still have given it to someone else after the first course of antibiotics failed, and #3 are there any conditions the ultrasound would have missed??? Any help you can give me is much appreciated, I m so scared this will rule the rest of my life or cost me tons of money I don t have in second guesses and tests, then finally surgery. Also one more question, how long should I wait if I don t see any improvement in the swelling this time to go see a urologist?
Wed, 2 Mar 2016
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
CPPS-(Chronic Pelvic Pain Syndrome) with CBP currently from incompletely treated UTI/Prostatitis/ Orchitis/ Epididymitis with STD .
Other causes need to be ruled out and verified with your doctors.
Following are the replies to your questions-
#1 is my condition now chronic due to the failure of the first treatment,-
Ans-YES. You are going in to or /are a case of CPPS-Chronic Pelvic Pain Syndrome.
#2 if it was caused by a sti bacteria could I still have given it to someone else after the first course of antibiotics failed,
-Ans-It's possible but not necessarily true-!!- as much info would be needed in that case, but many variables make it very hypothetical question.
-#3 are there any conditions the ultrasound would have missed???
Ans-USG at experts hand is enough to plan full treatments.But a expert Urologist and experienced one too, is needed.
CT pelvis / Prostate/ testes would be more useful in long term treatment planning and followup for a long time.
Treatment with antibiotics with long courses -1 - 3-6 mths,with watch on mulitple prostatic massage smear studies / Urine Cultures.
Intra-prostatic Injections of Antibioitcs / Hyaluronic acid infusion in prostate to facilitate more antibiotic effectivity by better antibiotic access in fibrotic tissue of Chronic Bacterial Prostatitis(CBP)
Not to miss on Good Diet / Exercises / Plenty of fluids,for a long term good results.
-4-Any help you can give me is much appreciated, I m so scared this will rule the rest of my life or cost me tons of money I don t have in second guesses and tests, then finally surgery.
Ans-Perpetual Meticulous treatment as above at hands of expert Urologist
TUNA -Trans Urethral Needle Ablation by Radiofrequency -for the non-bacterial fibrotic Prostate with inflamed tissue- could relieve and resolve this for a long time.
Are the hopes options suggested for you.
TUMT-Trans-Urtethral Microwave Thermotherapy
Advanced Optional treatment with Green light Laser Ablation (PVP-Photoselectiv-Vapourization of Prostate)can also be used if need be.
-5-Also one more question, how long should I wait if I don t see any improvement in the swelling this time to go see a urologist?
Its 5 mths now.
You should not wait.
Check with Good Urological Center and plan for better options as above.
Treatment-
As suggested above
-Other causes need to be verified as the facts may be different what you submitted.
-For this Second opinion from UroSurgeon is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your issues.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
CPPS-(Chronic Pelvic Pain Syndrome) with CBP currently from incompletely treated UTI/Prostatitis/ Orchitis/ Epididymitis with STD .
Other causes need to be ruled out and verified with your doctors.
Following are the replies to your questions-
#1 is my condition now chronic due to the failure of the first treatment,-
Ans-YES. You are going in to or /are a case of CPPS-Chronic Pelvic Pain Syndrome.
#2 if it was caused by a sti bacteria could I still have given it to someone else after the first course of antibiotics failed,
-Ans-It's possible but not necessarily true-!!- as much info would be needed in that case, but many variables make it very hypothetical question.
-#3 are there any conditions the ultrasound would have missed???
Ans-USG at experts hand is enough to plan full treatments.But a expert Urologist and experienced one too, is needed.
CT pelvis / Prostate/ testes would be more useful in long term treatment planning and followup for a long time.
Treatment with antibiotics with long courses -1 - 3-6 mths,with watch on mulitple prostatic massage smear studies / Urine Cultures.
Intra-prostatic Injections of Antibioitcs / Hyaluronic acid infusion in prostate to facilitate more antibiotic effectivity by better antibiotic access in fibrotic tissue of Chronic Bacterial Prostatitis(CBP)
Not to miss on Good Diet / Exercises / Plenty of fluids,for a long term good results.
-4-Any help you can give me is much appreciated, I m so scared this will rule the rest of my life or cost me tons of money I don t have in second guesses and tests, then finally surgery.
Ans-Perpetual Meticulous treatment as above at hands of expert Urologist
TUNA -Trans Urethral Needle Ablation by Radiofrequency -for the non-bacterial fibrotic Prostate with inflamed tissue- could relieve and resolve this for a long time.
Are the hopes options suggested for you.
TUMT-Trans-Urtethral Microwave Thermotherapy
Advanced Optional treatment with Green light Laser Ablation (PVP-Photoselectiv-Vapourization of Prostate)can also be used if need be.
-5-Also one more question, how long should I wait if I don t see any improvement in the swelling this time to go see a urologist?
Its 5 mths now.
You should not wait.
Check with Good Urological Center and plan for better options as above.
Treatment-
As suggested above
-Other causes need to be verified as the facts may be different what you submitted.
-For this Second opinion from UroSurgeon is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your issues.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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