What causes severe abdominal pain and testicle swelling?

Question

Hello doctor,

I was suffering from severe pain in the lower abdomen and testicle swelling and pain. I ran to a urologist immediately and got an abdomen scan and scrotum scan done. It is mentioned that the left testis is enlarged, and no flow is seen on the Doppler. It is mentioned that epididymal-orchitis with mild hydrocele. I am taking prescribed antibiotics and painkillers. I can walk and sit, but swelling and pain in the testis still exist if I touch it. Could you please help me by giving your opinion on this problem? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Good that you get in touch with us.

I am sorry to learn about your condition. I read your sonography report (attachments removed to protect the patient's identity) very carefully, and I am not too happy with the diagnosis. An early cancerous process (which would be 99 percent curable) cannot be ruled out with these findings. Therefore, you have to get at least two sonographic follow-ups after ten days and 21 days (minimum). In case the heterogeneous lesion is still there, a biopsy is mandatory to rule out testicular cancer. It is urgent because this disease normally develops rapidly and can only be fully cured when treated in stage one.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Of course, such symptoms and findings can be the consequence of a traumatic effect on your testicles. However, a torsion is always caused by an event that you would remember. And even if this would be the case, just some antibiotics and pain medication would definitely not be the right treatment for the consequences of testicular torsion. And I get really nervous when I read about a heterogeneous structure in your testicle. This makes close follow-ups absolutely necessary. So please follow my recommendations for follow-up sonographies (Doppler standard to see the blood flow). Maybe this time at another local urologist. A physician needs a very well-trained eye to get the right information from sonography. I am here if you need me. Be careful.

I hope this helps.

Please revert in case of further queries.

Thank you.