What is the effective solution for persistent scrotal swelling despite treatment?

Hello,

I am glad you chose icliniq for your medical-related queries.

I can understand your concerns.

The swelling of epididymo-orchitis does take a long time to resolve in everyone, even after the pain has subsided. You will need to undergo a color Doppler of the scrotum (a kind of ultrasound of the scrotum) to look for any possibility of internal swelling or fluid collection inside the scrotum, which can occur after the infection. If the ultrasound is normal, then there is nothing to worry about. Epididymo-orchitis, as the nature of the disease, also has a tendency to recur after a few months of complete recovery. If that happens, then the course of antibiotics and anti-inflammatory medication will need to be repeated. At present, a color Doppler of the scrotum is the most important investigation needed for you.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Hello,

Welcome back to icliniq.com.

1. Yes, in most cases, epididymo-orchitis resolves completely and returns to normal size but the exact time for that varies from person to person.
2. Diagnosis of chronic epididymo-orchitis can be made if the repeated scrotal ultrasound shows inflammatory changes and blood count shows signs of infection. At present, I would not say your problem is chronic without the above report.
3. Mostly it resolves with treatment.
4. Varicocele surgery will not be done during the inflammatory period of epididymo-orchitis. There are only a few indications for surgery for varicocele those are persistent pain or dragging sensation in the inguinal area or decrease in sperm count. It is better that you meet a urologist near you to decide if surgery is needed in your case because the need for surgery will also depend on physical examination by the urologist.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.