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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > cyst and scar tissue on the testicle and epididymis
Expert: Arthur Goldstein, M.D.
Date: 8/25/2008
Subject: cyst and scar tissue on the testicle and epididymis
Question
Hi,
I saw my GP for Pain in the testicle. He Gave me Antibods and NSAIDS. I dont know what the pain is from, i think its from my dog always trodding on my private area/ or my always touching it which aggravates it. He said it didnt matter if it was bacterail or trauma caused the meds would basically be the same.
HE warned my that inflammation of the testicle or Epididymis will lead to scar tissue or even a cyst and if this happens i may not have children and or/ atrophy of the testicle.
How accurate was the information ?
Also which would be worse to have,
epididymitis caused by trauma or bacterail?
Answer
DJ, the most common cause of pain in the testicles in the presence of anatomically normal testicles (where there is no obvious mass, redness or inflammation) is referred pain from an inflamed prostate gland, so called prostatitis. You can find my comments about prostatitis in many of my answers on this web site. Trauma to the testicles is rather obvious and is not treated with antibiotics. The injury almost always resolves on its own with rest. Infection of the testicles (epididymo-orchitis) is relatively common but the signs are enlargement of the scrotum & testes, marked swelling, redness of the scrotal skin, and significant tenderness of the area. This is treated with antibiotics and NSAIDs. Although this may lead to sterility from scar tissue formation, this is quite rare. It does not predispose to cysts but even if it did, scrotal cysts are of no medical importance.
The bottom line is that if your symptoms persist, you need to see a urologist in consultation so that a proper diagnosis can be made. Only after this, can a treatment program and prognosis be discussed further with you. Good luck.
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