Q. Is it necessary to undergo testicle removal surgery in a diabetic patient?

Answered by
Dr. Shahil Khant
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 08, 2020

Hello doctor,

My father is 63 years old and is diabetic. He is suffering from swelling of testicle. Before this, he suffered from urine infection from E.coli bacteria and the treatment lasted for one month. Initially, he underwent his treatment in my hometown and later went to the nearby city for treatment. Doctor suggested to take antibiotics for 10 days and wait for 15 days and asked to come for re-checkup. Doctor told us if there is no improvement, then he suggested my father to remove his swelled left testicle. Please find previous reports and the recent one as well.

Could you please explain the report and disease and also let us know is it something serious? Should we change our doctor? Is testicle swelling cannot be cured with medicine? Kindly suggest us whether my father should undergo operation? If so, kindly let us know is there any side effect and risk associated with the operation as my father is a diabetic and he is concerned about it? Can a laparoscopic specialist treat urology disease?

Dr. Shahil Khant

Andrology General Surgery Urology
#

Hello,

Welcome to icliniq.com.

I have seen the reports. (attachment removed to protect patient identity).

He is suffering from epididymo-orchitis of the testis. As already antibiotics course is over, the report still shows epididymo-orchitis. This shows that it became a chronic case.

What are his present symptoms? Does he have a fever, pain in the testis or urinary problems? If the symptoms are severe symptoms then it is better to remove the testis.

If there are no symptoms then we can wait, but the swelling will take four to six months to resolve. Testis removal is a minor surgery and he can undergo the surgery, no need to worry about. And no need to change the doctor as his treatment is fine. MS general surgeon and laparoscopy surgeon can perform surgery, no problem.


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Thank you doctor,

He is not suffering from fever and any urinary problem except for swelling in the left testis. Why doctor suggested my father to take antibiotics for a long, as I think it is not good for health. He suggested to take antibiotics for 10 days and wait for the next 15 days. If no further improvement takes place removing the testicle is a good option. Is that true?

But as per your suggestion, it takes four to six months to cure the swelling. Why the doctor is suggesting operation?

Dr. Shahil Khant

Andrology General Surgery Urology
#

Hello,

Welcome back to icliniq.com.

Epididymo-orchitis requires long term antibiotics for cure. Now it has become chronic epididymo-orchitis in your father's case. Ultrasound shows minor collections in testis. Moreover, there is a swelling of the testis. Doctor has advised orchidectomy because it gives permanent cure and no chance of recurrence of infections. As I told you can wait and watch but there are very less chances that the swelling will go. As he is not symptomatic now, I told you can wait but there are less chances that it will get completely cured.

Your doctor has suggested to undergo surgery because it is a permanent relief and cure. It is just an option to wait and watch.

I hope this helps.


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