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Is surgery mandatory for epididymo-orchitis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 32 year old male. Is surgery mandatory for epididymo-orchitis, with impression hydrocele and internal septations?

Answered by Dr. Raja Ramesh

Hi,

Welcome to icliniq.com.

In cases of epididymo-orchitis with associated hydrocele, chances that it is a pyocele (pus-filled collection) is higher. The presence of internal septations is more suggestive of pus rather than simple hydrocele. If symptoms are severe and are not responding to antibiotics, then surgery is definitely indicated. Some cases may even need removal of the testis. Preoperative consent for the same is usually taken.

Answered byDr. Raja Ramesh

Medically reviewed byiCliniq medical review team

Published At April 7, 2017
Reviewed AtJune 30, 2023

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