Question Title: testicular pain from past epididymitis

My husband, 46, had epididymitis many years ago. He has had infrequent bouts of pain on the same side since that time, which have gradually become more intense. A doctor has told him that the treatment for this is to remove the testicle, possibly both. He also told him he is at a higher than average risk for testicular cancer and should be examined twice yearly.

Is there no other treatment? Can a man without one or both testicles achieve an erection, or even want to? What are the cure rates for testicular cancer?

Dear Cathy,
I don’t think that you can jump to the conclusion that your husband has testicular cancer. So I would not worry about cure rates of cancer. I think it is probable that your husband has had recurrent bouts of epididymitis, but it may not have been completely treated. I think a full coarse of antibiotics should be tried before going to surgery. He should be treated for a full month with Cipro and anti-inflammatory medications. Keep in mind, I don’t know his previous treatments by his Urologist, this may have already been done. In regards to the erections, Yes, it is possible to achieve erections with testosterone supplementation therapy
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-AK
*keyword: Epididymitis
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