Testicular Swelling After Prostate Surgery: What to Do? - Urology

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After prostate surgery, particularly one involving laser removal of stones, it is not uncommon for patients to experience complications such as testicular swelling and pain. In your father's case, the significant swelling of one testicle, which has increased to about twice its normal size, along with intermittent fever, raises several concerns that need to be addressed.


Understanding the Situation
1. Post-Surgical Complications: After any surgical procedure, especially one involving the pelvic region, complications can arise. These may include infections, hematomas (accumulation of blood outside of blood vessels), or even lymphatic issues. The swelling of the testicle could be indicative of an infection, which is supported by the fever and pain upon touch.

2. Infection: The doctor’s assessment that there is a viral infection affecting the testicle is a critical point. Viral infections can lead to conditions such as orchitis, which is inflammation of the testicle. However, bacterial infections are also a possibility, and the need for blood and urine cultures is essential to identify the specific pathogen responsible for the infection.

3. Antibiotic Treatment: While your father is currently on general antibiotics, the effectiveness of this treatment will depend on the specific bacteria causing the infection. If the culture results indicate a resistant strain, a different antibiotic may be necessary.


Recommended Actions
1. Continue Monitoring: It is crucial to continue monitoring your father’s symptoms closely. If the swelling and fever persist or worsen, or if he develops additional symptoms such as increased pain, redness, or discharge, it may necessitate immediate medical attention.

2. Follow-Up with Healthcare Providers: Since the culture results will take several days, it is essential to maintain open communication with the healthcare team. Ask about the expected timeline for results and what the next steps will be based on those results. If there is no improvement in symptoms, discuss the possibility of adjusting the antibiotic regimen or further imaging studies to rule out other complications.

3. Pain Management: Ensure that your father is receiving adequate pain management. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may help alleviate discomfort, but consult with the healthcare provider for appropriate dosages and any contraindications based on his overall health status.

4. Hydration and Rest: Encourage your father to stay hydrated and rest as much as possible. This will support his immune system in fighting off the infection.

5. Consider Hospitalization: If your father’s condition does not improve or if he shows signs of systemic infection (such as high fever, chills, or confusion), hospitalization may be necessary for more intensive treatment, including intravenous antibiotics and closer monitoring.


Conclusion
In summary, while waiting for the culture results is necessary, it is equally important to stay vigilant about your father's symptoms. Regular follow-ups with his healthcare provider and proactive management of his symptoms will be crucial in ensuring a smooth recovery. If there are any significant changes in his condition, do not hesitate to seek immediate medical attention. The goal is to address the infection effectively and prevent any long-term complications that could arise from untreated testicular issues.