Dr. Elist treats a hydrocele of the spermatic cord by removing from the spermatic cord above the testis in the scrotum or in the inguinal canal. After injecting the area with local anesthetic, Dr. Elist makes an incision in the scrotum or in the inguinal area. The hydrocele is kept intact while it is freed of its attachments to the spermatic cord. The sac is opened, drained, and excised all the way to the internal inguinal ring in the upper groin area. The remaining tissues are repaired and closed by suturing. The testis is anchored to the inside of the scrotum with three sutures to prevent later torsion or twisting of the testis. A drain may be placed in the scrotum and the incision closed in layers by suturing.
Important: your doctor needs to distinguish between acute epididymitis and testicular torsion in order to provide the right treatment
Treatment: antibiotics, cold compresses, anti-inflammatory medication, surgical testicular mass removal (rarely necessary).
Diagnosis: History and physical, ultrasound, further imaging studies is required
Treatment: Asymptomatic small hernias do not need a repair. Bigger hernias should be evaluated on individual basis and surgically repaired if warranted, testicular mass removal may be needed.
Testicular cancer is the most common cancer in men aged 20-39 years. It can present with or without pain. The mass usually feels firm and arises from the testicle. Testicular cancer has one of the highest rates of cure, over 90%, and even 100% if it has not spread. Occasionally, testicular cancer may appear with symptoms of metastasis, which could include cough, shortness of breath, or weight loss. Even in case of metastasis, modern chemotherapy can achieve a cure rate of over 80%. Monthly testicular self-exams are recommended for every man between the ages of 18-40 years old.
Signs and symptoms:
Treatment: Treatment of testicular cancer is depending on the pathology and may include surgery, radiation therapy, and chemotherapy, testicular mass removal may be necessary.