Yesterday, my urologist proposed my having an epididymectomy on the left testicle while he was going over the results of the scrotal ultrasound he had ordered.
The ongoing issue with the epididymitis wasn’t intended to be a topic of conversation with him. About a year and a half ago, a epidermoid cyst developed in the area of the perineum. I thought by treating it with topical medications, for acne, that I could get rid of it, but it instead had worsened. The pain finally drove me to see my PCP, and I was referred to a dermatologist.
The dermatologist wanted nothing to do with the situation–he had me pull my scrotum up while he peered at it from about three feet away, declared he saw nothing wrong and abruptly left the exam room. So…yeah…I won’t be going back there. I’m not sure what his issues were. My PCP professed to be surprised at his reaction.
So then my PCP referred me to the urologist. He examined me and quickly zeroed in the fact I have dual hydroceles, and he wanted to focus treatment on those. I held my ground though, and insisted that the epidermoid cyst was all I was seeking treatment for. He sent me for an ultrasound.
The ultrasound report shows that, in addition to the dual hydroceles, and the epidermoid cyst which now has developed a sinus tract leading into the subcutaneous tissues, the left epididymis has “coarse clustered calcifications, could be secondary to prior surgery, trauma or chronic left epididymitis.”
So, he proposed, in addition to the excision of the epidermoid cyst, that I undergo an epididymectomy on the left testicle. I was startled, really, by what seemed to me to be such a drastic step. I asked him where the sperm cells in the left testicle would go after the epididymectomy, and he looked a little blank for a moment and said, “Well, the sperm cells will just die, inside the testicle.” I rather sharply responded that I felt that would just make the situation worse, not better. But then, trying to smooth over my tense remark, I told him I’d think about it.
A scheduler is going to call me next week. I’m going to read up on the topic of epididymectomies, and try to reach a reasonable decision. I’d like for the pain in the area of the left testicle to go away, but I certainly don’t want to make a mistake and end up with a bad result.
So, I’m just sort of thinking out loud here. I’d welcome any observations or advice. Thanks.