Hi doctor,
My right inguinal hernia repair was performed before six years. Before seven months, I have developed right epididymitis and right spermatic cord hardness like stone. It was diagnosed as epididymo-orchitis.
There was a superficial abscess on the right side. Incision and drainage have been performed before two months. Still, I am having some pinching pain and hardness in the spermatic cord.
Currently, I take Amoxicillin 500 mg twice daily. In the past, I had Ciprofloxacin, Piperacillin and Tazobactam. I had a CBC, tumor markers, urinalysis, urine culture and biopsy of the wound. All the reports were normal.
Hello,
Welcome to icliniq.com
Your present condition cannot be attributed to the inguinal hernia repair done six years ago. May I know what kind of repair was done? Either laparoscopic or open repair?
Acute epididymo-orchitis is a clinical syndrome consisting of pain, swelling and inflammation of the epididymis, with or without inflammation of the testes.
Chronic epididymitis refers to epididymal pain and inflammation (usually without scrotal swelling) that lasts for more than six months.
Symptoms of discomfort and pain at least 3 months in duration in the scrotum, testicle or epididymis are localized to one or each epididymis on clinical examination may be considered as chronic epididymitis.
The most common route of infection is local extension and is mainly due to infections spreading from the urethra (sexually transmitted infections - STIs) or from the bladder that is UTI (urinary tract infection) and prostatitis.
Your symptoms for the last 5 months can now be considered as chronic or acute progressed to chronic epididymitis.
The causes include infections like Chlamydial, tuberculous and also post-infectious.
Do you have any history of diabetes, recurrent UTI, BPH (benign prostatic hyperplasia) with prostatitis, cystitis or STDs?
For diagnosis, you need to get the following tests:
The treatment includes both conservative and surgical. The conservative part includes antibiotics once the culture report arrives, NSAIDS (nonsteroidal anti-inflammatory drugs) or narcotic analgesics like Tapfree (combination of Tapentadol and Paracetamol). The surgical treatment is epididymectomy.
For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Hi doctor,Recently, I was diagnosed with epididymitis ... 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... Read full
How likely is it that IC can cause scarring of the bladder?.. course is unpredictable and may get worse and affect sexual functions if untreated. One of the strongest theories is a leak in the epithelium causing some irritating substances to cause inflammation which may later lead to scarring over time. Sc... Read full
Kindly tell me the best medicine to cure prostate enlargement... gone through your query. The symptoms of BPH (benign prostatic hyperplasia), if severe can have a negative impact on the sexual drive of the person. The medication that you are currently taking, does not have any effect on libido but itself. That ... Read full
Comprehensive Medical Second Opinion.Submit your Case
Also Read