epididymal cyst from Chlamydia

[cervelouk]

Symptons: pain to the right testicle and swelling at the top of the right testicle plus some redness on the urethra especially after ejaculation, I have at the moment.


Background:

I had Chlamydia about 18 months ago, was tested positive and treated with the two antibiotic pills taken once which seemed to cure it. 6 months on something still didn't seem right so I was tested again but it came back all clear, they also tested for syphilis, gonorrhoea and HIV. All came back clear.



Syphilis IgG/IgM by EIA             Negative

Hep B surface Ag (HBsAg)        Negative

Hep.C Ab ELISA (3rd Gen)          Not detected

HIV 1 & 2 ABS/P24 Ag screen    Not detected



Chlamydia Trachomatis DNA (PCR)        Not detected

N.gonorrhoeae DNA (PCR)                    Not detected

Mycoplasma gentitalium DNA (PCR)      Not detected

Ureaplasma species DNA (PCR)            Not detected

Trichomonas vaginalis DNA (PCR)         Not detected

Gardnerella vaginalis DNA (PCR)            Not detected

Herpes Simplex Type I/II DNA                Not detected



6 Months further on to January 2016, I started to experience the symptoms outlined at the top and it back very irritable and swollen on the right testicle, I went to the doctors explained above ref Chlamydia and they gave me a 9 day course of doxycycline as they suspected epididymitis. Which seem to clear it up in about 5 days and I was even cycling and running again.



A week after the finishing the course of doxcycline, the symptoms came back, I read online the bacteria which can find itself in all sorts of places as the tubes in the testicles can be like a network of caves and it can be hard to completely kill off. I visited sexual health clinic who gave me a 14 day course of Ofloxacin but this slightly reduced the symptoms but they never went away. They seemed reluctant to run a doxycycline course again as they said it came back after taking it first time round, but from experience online the course may need to be longer for doxycycline to really work?



I had a UT scan to reveal I had a epididymal cyst which came at the time of the infection, the doctor advised it would cause no harm and I would have to live with it. It is about the size of a pea, but still had soreness and swelling.



Over the last few months, the epididymal cyst and redness remains ont he scortum in that area and slight rash/redness on the penis glad. A urologist put me on 6 weeks of cipro which seem to lower the irration and symptons by 60 % but never really cleared it up. Since then I have had a urine culture test which came back with the following:

URINE CULTURE 1) >100,000 cfu/ml Mixed growth of organisms with a predominant growth of 2) Escherichia coli

My understanding is that if a cyst or abscess is caused on the epididymis and antibiotics are working it has to be removed to be successful?

In this trial below:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921787/

[Life360_Dave]

Hi, you kind of lost me with your post, what question are you asking? If its a cyst it depends what type as an inflamed skin pore can drain itself in a few days by squezzing it.