Q. I have pain behind my right testicle and diagnosed with epididymitis. Do I need surgery?

Answered by
Dr. Samer S J Altawil
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jan 17, 2021

Hi doctor,

Recently, I was diagnosed with epididymitis. I have pain behind my right testicle. I took Doxycycline for ten days and I stopped it. After that, I took Ciprofloxacin for five days. I do not have changes so far and I am worried. Do I need surgery to remove my epididymis?

#

Hi,

Welcome to icliniq.com.

Epididymoorchitis is an inflammatory condition and it usually settles down by taking antibiotics. The response depends on the causative organism. Usually, culture gives a clear picture of the type of organism and shows the type of antibiotics that works efficiently against the problem. After starting antibiotics, culture is no more accurate. The ultrasound helps in the diagnosis of epi-didymo orchitis in the second point. If you have done any previous ultrasound and culture, please share it. If not, please do an ultrasound and it helps to diagnose whether there is any pus collection and it needs surgery.

You have taken Doxycycline and Ciprofloxacin. It has not helped you. I suggest you take Augmentin 625 mg (Amoxicillin with Clavulanic acid) thrice daily for two weeks and Metronidazole 400 mg thrice daily for a week. Please share the ultrasound report as soon as possible. Epididymitis does not need surgery if you do not have pus inside or there are no other abnormalities in the scrotum like torsion or tumor. All these can be diagnosed using ultrasound.

Thank you doctor,

I have planned to do an ultrasound tomorrow. I still have nine days to complete the antibiotics that I am taking now.

#

Hi,

Welcome back to icliniq.com.

Yes, it is right. You have started taking Ciprofloxacin and please continue taking it for nine days. Please add Metronidazole 400 mg thrice daily for seven days to it to have better results. Once you have done the ultrasound, please share it and I can advise you further.


Was this answer helpful?

 | 

Related Questions:
What causes pain after masturbation in a patient with epididymitis?

.. have you been taking the Ciprofloxacin and at which dose? Are you taking any medications for pain .. ...   Read full

I have testicle pain after unprotected sex. Could it be epididymitis?

You could go for an ultrasound with color Doppler of the testis to confirm it ...   Read full

Ultrasound shows flushed out kidney stones. Why is burning still there?

.. is normal (pancreatitis, spleen and kidneys) (attachment removed to protect patient identity) besides, there are the following findings: Fat accumulated in the liver, which means that the patient should avoid alcohol and lose some pounds. Some...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What is the remedy for stomach pain due to fecaliths?

Query: Hi doctor, My 4 years old son is suffering from stomach pain from the last eight to nine days. He mostly complain about that in the evening time or after mid night. If I massage his stomach he feels relaxed. He underwent an ultrasound along with appendix and some other blood tests including TB. All...  Read Full »

What is the cause for Testicular Pain?

Query: Hello doctor, I have been facing testicular pain since last few days. What could be the cause?  Read Full »

Can a herniated disc cause testicular pain?

Query: Hello doctor, I am a 48 year old male. Ten days back, I noticed that my testicles has moved up and are receding into my groin. I also have a dull pain in the testicles. This pain is not always there, but it happens on and off. I am worried that this may be a serious condition. Could you please l...  Read Full »

Also Read


I am suffering from dry and scaly scalp. Is that scalp psoriasis?
Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I h...  Read more»
Birth Control Methods - Facts, and Types
Devices or treatments done to prevent unwanted pregnancy are called birth control methods.In this article, I am going to...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.