Case of chronic hydrocoele with prostate enlargement with orchitis

A 64 year old male presented to clinic with complaints of right scrotal swelling accompanied with fever and pain Chief Complaints He adds that he has been having swelling for a long time, but it is only this time that it has progressed so much with pain and he also had an episode of hematuria and dysuria few days back History He had been under treatment for prostatomegaly as his prostate volume was high and PVRU significant as per his USG KUB Vitals Vitals are normal, but he gets fever almost everyday around 100 to 101 F Investigations USG scrotum report is attached Patient has a USG KUB which revelaed prostatomegaly He is unwilling to undergo further tests which I advised like CBC, and Urine R,M,CS Management Meanwhile, I have started him on following - Oflox 100ml IV BD, Ceftriaxone 1gm IV BD, Tab Ultracet HS, Tab Dolopar 500 if fever more than 100 F Chymoral forte TDS Analgesia of choice in such cases? Antibiotic of choice in such cases? Kindly give your opinion on this case for diagnosis and line of management 🙏 I am suspecting it as a case of secondary hydrocoele due to Orchitis

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Antibiotics with NSAIDS IN HOMOEOPATHY sabal serulata q 10 drops Ferum picticum 200 bd Calc flo 6x Thuja 1m stat Lyc 200 bd

The reports suggesr ?resolving lt epididymorchitis and rt funiculitis. From the history however the patient had no complaints on the left side. The fever could be due to the funiculitis/ orchitis. In the presence of orchitis or funiculitis, it is useful to eliminate 1. UTI and 2.Filariasis. It is often difficult to rule out filariasis .Hence ffort should be made to rule out UTI. Can give a therapeutic trial with hetrazan 100mg thrice a day and do a peripheral smear for microfilariae. If the patient responds to the hetrazan while you wait to start antibiotics for uti and if patient improves, it is filarial.If he does not then it is uti. The flip side is both can coexist.so you may have to treat for both filariasis and uti at the saame time and wait for c/s report.

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GERIATRIC CASE WITH.. PROSTATOMEGALY..LEADING TO.. ORCHITIS AND ..SECONDARY..HYDROCELE.. INITIALLY..CONSERVATIVE TREATMENT WITH.. LINEZOLID +CEFIXIME..WITH.. NSAIDS..AS PER REQUIREMENT.. SURGICAL INTERVENTION WITH .. SURGEONS OPINION..

Tnx Dr Krishan kumar Sharma..
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Chronic hydrocele with orchitis

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Prostatomegaly with. Orchitis and secondary hydrocele. Surgeons opinion for further management.

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fever with orchitis treated with ayurvedic medicines maha sudarshan ghan vatti was continued with punarnavadi mandur.pt totally recovered with in 4--5 days

Right sided hydrocoele with right orchitis There is a possibility that her might have developed infection of hydrocoele to form pyocoele. Adv Treat with antibiotics If patient do not respond to treatment then drainage of right sided hydrocoele/ pyocoele may be considered

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Medical management with antibiotics and antiinflammatories. Follow up sonography. Sos surgical intervention.

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PT have prostomegaly prostitue resulting orchitis and sec hydroce PT need cul n sensitivety of urine Ur conservative TT is all right also advise scrotal support See if pyocele is there or not U can consider meropen the antibiotic in prefence Use akaliser If frequency mict is there Use urispas/mirabact Analgesic antipyretic as u like

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Ryan chronic hydrocoel With orchitis Ad hydrocoel fluid for HPE If non malignant report comes can treat conservatively Prostatectomy is advocated at this age

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