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Urology/Having problems after Mumps

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QUESTION: Hi doctor,

I am fifteen years old. I had mumps on 2nd of feb. and after  1 0r 2 weeks i had my testicles swelling . I consulted a doctor and had ciprofloxacin 8 hourly for 5 days. After that there was no swelling.At that time my left spermatic cord was enlarged, but it went ok after some days .

But after some weeks, the spermatic cord enlarged again .A doctor of medicine prescribed me Prednisolone (10 mg) for 5 days(3 tablets daily - 1 at morning,1  after noon, and 1 at night). Today is the third day that I am taking prednisolone but my spermatic cord is still enlarged and suddenly today after running for some time , both of my testicles became hard . I am very much worried.Why my spermatic cord is enlarged after having mumps?Why my testicles got hard today after running? What should I do doctor ?

ANSWER: James:

I am concerned about giving prednisolone to a 15 year old. I would recommend that you consult a urologist for another opinion.  Spermatic cord enlargement and testicular swelling can indicate a localized infection such as epididymitis, orchitis or something similar.  It is unusual to see mumps in your age group.  

---------- FOLLOW-UP ----------

QUESTION: Doctor , why my testicles got hard that day after running? Is it due to taking prednisolone ?

Answer
James:

I can't determine what happened to the testicles after your run.  They should not normally get hard.  This could be from several possible sources or even indicate a hernia.  I don't believe that the prednisolone was the source for the swelling.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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