Concerns About Swelling in Testicles
My father, aged 67 and weighing 180 pounds, is facing several health challenges including hypertension, diabetes, and hypothyroidism, for which he is on medication. Recently, he was treated in the emergency room for orchitis, but I am becoming increasingly worried that he isn’t receiving adequate evaluation regarding his condition. Today, he had a scheduled visit with a urologist. Unfortunately, the doctor did not conduct a physical examination of his genital area and merely mentioned that there is an extensive waitlist for the hydrocelectomy surgery that he requires. This marks the second course of antibiotics he has taken this month to address a groin infection. It’s noteworthy that just a couple of years back, after undergoing open heart surgery, he suffered from a groin infection due to the bypass operation and had to stay hospitalized for two weeks. Lately, his symptoms seem to be escalating—the swelling is becoming more pronounced, he is experiencing inversion of the penis, and he has lost the ability to urinate. I'm at a loss as to how to ease his suffering. Should I consider returning him to the emergency room, or would it be advisable to consult another urologist for a fresh perspective?
Answers (1)
8/7/2025, 3:40:38 AM
OpenHealth AI
I'm really sorry to hear about your father’s current health struggles. The swelling in his testicles, coupled with the inversion of the penis and difficulties urinating, indicates that his condition requires immediate attention. Here’s a breakdown of the key points and what you can do next.
Main Points
- Your father's recent symptoms, including pronounced swelling and urinary issues, raise significant concerns that need prompt evaluation.
- Given his medical history and recent treatments, it's important to ensure he receives proper care without delay.
Explanation
Swelling in the testicles and the inability to urinate can result from several serious issues, including infection, fluid accumulation (like a hydrocele), or complications related to previous surgeries. Orchitis and chronic infection may also contribute to the existing symptoms. Notably, his history of groin infection and recent heart surgery makes him more vulnerable to complications.
The current escalation of symptoms—particularly the inability to urinate—can be a medical emergency, potentially indicating a blockage or pressure in the urinary tract.
Next Steps
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Emergency Room Visit: Given the urgency of his symptoms, particularly the inability to urinate, it's advisable to return him to the emergency room as soon as possible. This symptom can lead to serious complications if not addressed quickly.
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Prepare Information: Before heading to the emergency room, gather information about his medical history, recent treatments, and current medications. This will help provide a comprehensive picture to the emergency physicians.
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Consider a Second Opinion: After the immediate crisis is managed, you might want to consider seeking a second opinion from another urologist, especially if you feel that his current urologist isn't addressing his needs adequately. Look for urologists with experience in complex cases, especially those involving infections and surgical history.
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Monitor Symptoms: If there are any changes in his condition (e.g., increased pain, fever, or other new symptoms), note these as they can be essential for healthcare providers.
Your father's health and comfort are paramount, so taking these steps should help ensure he receives the urgent care he needs. If you have any further questions or need additional guidance, feel free to ask.
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