HomeAnswersUrologyepididymitisI am a 20-year-old experiencing testicular changes after epididymitis treatment. Why?

Is it normal to experience testicular changes after treating epididymitis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At October 22, 2023
Reviewed AtOctober 22, 2023

Patient's Query

Hello doctor,

I am 20 years old. I recently dealt with epididymitis and completed a 14-day treatment. However, even after the treatment, I noticed that my affected testicle behaves differently during the cremaster reflex compared to the right one. While it goes up normally, it does not descend all the way as the right one does. Should I consider scheduling a follow-up visit with my healthcare provider to address this concern? Please suggest.

Answered by Dr. Madhav Tiwari

Hello,

Welcome to icliniq.com.

I understand that you are facing some troubles, and I would be glad to help you gain a better understanding of your issue. Kindly provide me with the following details:

  1. Has your testicle always been going up since you were a child?

  2. What antibiotic were you prescribed for the treatment of your condition?

  3. Do you still experience any pain in the testicle?

  4. Are you encountering any difficulties passing urine, such as straining, feeling incomplete emptying, etc.?

  5. Have you ever undergone any surgeries in the past?

  6. Is the issue affecting only one testicle, or are both of them involved?

  7. Does the testis return to its normal position if you pull it down?

Can you please share the reasons for the ultrasound performed on your testicles during the epididymitis treatment?

Please remember that epididymitis itself does not typically cause testicles to go up during the cremaster reflex. Such a condition is generally present since childhood and is called retractile testes. I am here to assist you to the best of my abilities once you provide the necessary information. Feel free to respond with the details, and I will do my best to help you.

Regards.

Patient's Query

Hi doctor,

Thanks for the reply. Here are the answers to the questions you asked me:

  1. I did not experience any issues as a child.

  2. My prescription was for 500 mg of Levofloxacin.

  3. Currently, I do not have any pain in the testicle.

  4. I have no difficulties with urination.

  5. I have not undergone any surgeries in the past.

  6. The issue is affecting only one testicle.

  7. Yes, the testicle returns to its normal position if I pull it down.

  8. An ultrasound was conducted to rule out torsion.

  9. It appears that the difference in hanging height between the testicles is now more significant than it was before.

Thank you.

Answered by Dr. Madhav Tiwari

Hello,

Welcome back to icliniq.com.

Thank you for your response. Based on your answers, it indeed appears to be a retractile testis. This condition is commonly observed in newborns and young boys but usually tends to resolve by the time of puberty. In most cases, retractile testis does not necessitate treatment unless it causes significant discomfort or pain during retraction. If treatment is required, options include a minor procedure called cremaster muscle release or, in certain specialized centers, the use of botox to relax the cremaster muscle. If there is no discomfort, you can opt to continue with regular follow-ups with your doctor or perform regular self-testicular examinations. I hope this explanation clarifies things for you. Feel free to reach out if you need any further assistance or have additional questions. I am here to help anytime.

Regards.

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

Dr. Madhav Tiwari
Dr. Madhav Tiwari

General Surgery

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