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Why do I have pain in my scrotum even after antibiotics?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

A yellowish liquid was coming from the tip of my penis a year ago. I then visited a urologist. He gave me an antibiotic course for a week. It then went away. After this, two months ago, I underwent a fistula-in-ano surgery. The doctor gave me tablet Ziprax 200 DT and Painwell medicine for one month. After I felt better, I have stopped taking these medicines. Then after two days of stopping these medicines, I suddenly had a pain in my right side spermatic cord area in the scrotum. The urologist gave me medicines Ziprax 100 DT and Diclofenac 50 mg. But, even after this one week course, my pain did not go away. He then told me to do an ultrasound. In the report, the conclusion was 'diffuse thickening in my right spermatic cord in the scrotum'. The doctor gave me a medicine Denim juicy 100 mg. But, I still have a pain there. My urine and blood report is normal. What to do?

Answered by Dr. Choudhary Devendra

Education:

MCh Urology

Professional Bio:

Dr. Choudhary Devendra is a highly skilled Urologist with extensive years of clinical experience. His expertise spans the diagnosis and management of a wide range of urological conditions affecting the kidneys, bladder, prostate, and urinary tract. He is proficient in both medical and surgical approaches, ensuring personalized and advanced care for his patients. Dr. Devendra is dedicated to delivering compassionate treatment with a focus on improving patient outcomes and quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

What was the histopathological examination report of the fistula track that was excised? How is the urine flow? Do you need to strain to pass urine? How many times do you need to get up at night to void? Was a urethral catheter inserted after the surgery? What is the present urine analysis report (pus cells)? Also, share your ultrasound report.

Patient's Query

Thank you doctor,

The histopathological report was normal, and urine flow is also normal. I do not need to strain to pass urine. I void only once at around 3 to 4 AM. No urethral catheter was inserted after surgery. The urine report and ultrasound reports are attached.

Answered by Dr. Choudhary Devendra

Education:

MCh Urology

Professional Bio:

Dr. Choudhary Devendra is a highly skilled Urologist with extensive years of clinical experience. His expertise spans the diagnosis and management of a wide range of urological conditions affecting the kidneys, bladder, prostate, and urinary tract. He is proficient in both medical and surgical approaches, ensuring personalized and advanced care for his patients. Dr. Devendra is dedicated to delivering compassionate treatment with a focus on improving patient outcomes and quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

These reports look to be almost normal (attachment removed to protect patient identity). The testes and epididymis are not affected. The pain originating from these structures including cord take three to four weeks to subside. Wear scrotal support. I suggest you take tablet Pregabalin 75 mg at bedtime for two weeks. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

Medically reviewed by Dr. K. Shobana
Published At May 26, 2018
Reviewed At August 8, 2025

Education:

MCh Urology

Professional Bio:

Dr. Choudhary Devendra is a highly skilled Urologist with extensive years of clinical experience. His expertise spans the diagnosis and management of a wide range of urological conditions affecting the kidneys, bladder, prostate, and urinary tract. He is proficient in both medical and surgical approaches, ensuring personalized and advanced care for his patients. Dr. Devendra is dedicated to delivering compassionate treatment with a focus on improving patient outcomes and quality of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MCh Urology

Professional Bio:

Dr. Choudhary Devendra is a highly skilled Urologist with extensive years of clinical experience. His expertise spans the diagnosis and management of a wide range of urological conditions affecting the kidneys, bladder, prostate, and urinary tract. He is proficient in both medical and surgical approaches, ensuring personalized and advanced care for his patients. Dr. Devendra is dedicated to delivering compassionate treatment with a focus on improving patient outcomes and quality of life.

This doctor is not available for online consultations on the platform anymore.

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