Cyst in my testicles are getting bigger while trying to pass stools. Please help.

Hi,

Welcome to icliniq.com.

With the history you have told, it seems like a hydrocele or an inguinal hernia with extension into the scrotum. If possible do send the pictures for a better idea.

And also answer these questions. Do you suffer from constipation? Any abdominal pain? Any fever? Any issues while passing urine? Do you have diabetes? Awaiting your reply. Please update a clear picture.

Hi,

Welcome back to icliniq.com.

I have gone through your answers and photos (attachment removed to protect patient identity). It seems to a long-standing issue since 2018. Have not you consulted any doctor for this issue?

With these replies, I would say that the possibilities of hernia or hydrocele as I have already mentioned is less. Your scrotum is not so big as I have imagined with your previous description. The complete picture resembles an infection in and above the testis, we call it epididymo-orchitis.

This condition needs direct clinical hands-on examination by a doctor. Anyways, let us try to find it out with some tests. Please do the advised investigations and get back to me.

I hope that you get your answer.

Please let me know if you need some help.

Thank you.

Hello,

Welcome back to icliniq.com.

I have gone through your reply. Let me come one by one.

You have a history of sexual contact, epididymitis infection following sexual contact in young males is usually caused by a bacteria called Chlamydia. In the acute stage, it is usually associated with features of urinary tract infection. But when this goes unnoticed, untreated, and stays for a long time, then the urine infection features get settled, whereas this stays and leads to complications like cysts or abscess formation.

The other possibility is such long-standing cases is tuberculosis infection and cyst formation as its sequel. If not for Chlamydia infection, as per your radiologist's report, a cyst in the testicle, may be a simple epididymal cyst or a spermatocele (also a type of cyst that contains sperms collected within it). Both these conditions are very benign, do not cause any problems, and do not need any treatment.

A rare complication is the enlargement of the cyst where you need to surgically remove the cyst. Otherwise, need not worry at all. And yes, for your important concern, it is possible that when you put pressure the swelling may enlarge in size particularly when the connecting tunnel between the abdomen and scrotum is not completely sealed or it is weak, or if there is any abnormal connection.

As far as your description, these are the possibilities which I have explained. Further differentiation and confirmation of an appropriate diagnosis will depend on investigations direct clinical examination and discussion with a urologist. At your next consultation with the urologist, you can discuss the above-mentioned points with him, and decide whether to check urine for chlamydia and TB bacilli, the already advised investigations, and also regarding further management.

I hope that you get your answer.

Please let me know if you need some help.

Thank you.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

Nice to hear back from you after a long gap. I have gone through your urologist's description and filing (attachments removed to protect patient identity). I see that they have checked for all sorts of infection for you including Chlamydia, which I mentioned in my previous description

Also, as I have mentioned in my previous description, your follow-up information and investigation reports all get narrowed down telling us it is only a simple epididymal cyst.

You need not worry about it, as it is a very benign condition, it just stays but does nothing.. Bear in mind you need to consult the urologist if you develop any color change with pain and fever over the cyst, which indicates infection. Else, rest all assured. Specifically do not keep rethinking and worrying that sexual contact is the reason behind this. You have been evaluated fully. Just forget those and be relaxed.

And there is no such thing that is been done differently here, except for advice to leave it alone and observe with reassurance given for it.

I hope that you get your answer.

Please let me know if you need some help.

Thank you.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

I see only multiple hair endpoint skin infections in your pictures (attachments removed to protect patient identity), which we call folliculitis. You need to check your blood sugar levels and see a dermatologist

Other reports do tell the same which I had already told you, simple epididymal cyst.

When you disagreed with whatever I had written for you before, there is nothing more I can explain to make to understand this. Please consult your urologist and follow his advice.

I hope that you get your answer.

Please let me know if you need some help.

Thank you.