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Urology (Expert Forum)
Losing a Testicle
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Losing a Testicle
by Soulman, Jun 08, 2005 12:00AM
My 18yr old son was sent by our G.P. to hospital with a suspected Torsion. At hospital it was diagnosed as Epididymo-orchitis and my son kept in hospital, taking Ofloxacin as the antibiotic. After being out of hospital for a week we went back for an Ultrasound Scan and were informed that their was no blood supply to the infected testicle, it had died. I could understand if it had been a Torsion that had been undetected, as due to the time element, it would certainly have died being well over the 6-8 hours for period to be operating on.
The questions I have are: Could the testicle itself die as a consequence of the infection alone, even though taking the prescribed antibiotics? Could the infection cause the bloodflow to cease? If this is the case it must be extremely rare as I cannot see any evidence to support this anywhere on the internet and so seem to be leaning to a case of mis-diagnosed torsion.Your observations in this regard would be very much appreciated.
Steve
The questions I have are: Could the testicle itself die as a consequence of the infection alone, even though taking the prescribed antibiotics? Could the infection cause the bloodflow to cease? If this is the case it must be extremely rare as I cannot see any evidence to support this anywhere on the internet and so seem to be leaning to a case of mis-diagnosed torsion.Your observations in this regard would be very much appreciated.
Steve
Doctor's Answer
by Kevin Pho, MD, Jun 11, 2005 12:00AM
, Jun 11, 2005 12:00AM
Difficult to comment without viewing the records and examining the patient. But to answer your questions.
1) It is less likely that infection can lead to an infarction of the testicle when taking antibiotics.
2) Although possible, I am not aware of an infection leading to cessation of blood flow.
Again, even if these causes are unlikely, it doesn't mean that it can't happen.
You can discuss these questions with your urologist, or in conjunction with another urological opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
1) It is less likely that infection can lead to an infarction of the testicle when taking antibiotics.
2) Although possible, I am not aware of an infection leading to cessation of blood flow.
Again, even if these causes are unlikely, it doesn't mean that it can't happen.
You can discuss these questions with your urologist, or in conjunction with another urological opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments (5)
by Soulman, Jun 09, 2005 12:00AM
To: Misc. (Urology)
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by dancemix, Jun 18, 2005 12:00AM
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by Soulman, Jun 18, 2005 12:00AM
To: Misc. (Urology)
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by Steve51, Aug 27, 2005 12:00AM
To: Misc. (Urology)
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by Lawson1, Sep 10, 2005 12:00AM
To: Misc. (Urology)
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