[Fwd: PROSTATITIS Digest - 10 Jan 1998 to 11 Jan 1998]
Quote:
> I have noticed a lump on the epidydimis off my left testicle lately. I had
> noticed something similar but smaller years ago, had it checked, doctor
> said it was nothing. Had new doctor examine this new lump, and he claims
> it is normal too. It is new, I am sure, and it is right at the place to
> which my prostatitis pain occasionally radiates. This point of induration
> is also the place that gets sore after sex (esp after repeated sex over
> several days). I trust the doctors that it's not serious (i.e. cancer),
> but could induration and somewhat increased sensitivity of epidydimis be
> related to CP? Note that testicle/epid. is not tender to touch on exam.
> thanks, Michael
A good uro should suggest a scrotal ultrasound to determine definitively
what the induration is. It could be epididymitis, or a {*filter*}atocele, or
maybe a small hydrocele. This should indicate whether you need more
antibios (for epididymitis) or whether surgery is indicated. (Surgery
could get rid of a {*filter*}atocele or hydrocele, though it may not be
needed if they are not symptomatic.) Of course, you may also need more
treatment for underlying prostatitis as well, since the two problems may
be related. I've had (and continute to have) both CP and chronic
epididymitis as well. Both quercitin and the non-steroidal
anti-inflammatory indomethacin have been helpful. The fact that your
epidid is not tender to touch would lead me to think that it is a bit
less likely to be epididymitis; in my case, it is very tender to touch
and causes ongoing pain. But again, an ultrasound would be a good idea
for definitive diagnosis.
Not a doc, but with long-term experience---Henry
