I am a 48 years old male. I do not have diabetes or hypertension. I had on and off pain in the scrotum for two months. I felt better after I had a course of Doxycycline for seven days. But one day I ran to catch a bus and at that time I felt some pain. Again I am experiencing the on and off pain, but this time the pain is restricted to the area in the left scrotum. My general surgeon advised me Ofloxacin for a week and then I had Doppler, urine and blood examination. My high resolution color Doppler ultrasound findings are as follows. Left testis - 40 x 21 x 29 mm, normal in size and echotexture. There is no mass or lesion or calcification seen. Right testis - 46 x 19 x 26 mm, normal in size and echotexture. There is no mass, lesion or calcification seen. Epididymis is normal in size and echotexture right 10 x 8 and left 11 x 9. There is no evidence of hydrocele and varicocele. Is it torsion and detorsion? Will Doppler show that? Also advise further investigations. Please guide me. Thanks.
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My CBP is normal including ESR 05 mm. Examination of urine resulted protein in trace. All other findings are normal. Microscopic examination revealed pus cells 2-4/HPF, epithelial cells 1-2/HPF, RBCs, crystals, casts absent. Urine culture report showed culture negative for bacterial growth.
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