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Treatment of Testicular Abscess in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Surgical treatment of testicular abscess with excision of affected tissues
7253
General therapeutic rehabilitation
565.57

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Surgical treatment of testicular abscess with excision of affected tissues
14153

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Urology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Surgical treatment of testicular abscess with excision of affected tissues
13544

Urology Clinic Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology, Andrology

According to the Focus magazine, the Urology Clinic Munich-Planegg Munich ranks among the best specialized hospitals in Germany! The hospital was founded in 1970 by Dr. med. Rudolf Castringius. During that time, it became a leader in men's healthcare in Germany. In addition, the hospital has the status of one of the best med
Surgical treatment of testicular abscess with excision of affected tissues
12681

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Urology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Surgical treatment of testicular abscess with excision of affected tissues
12650

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Surgical treatment of testicular abscess with excision of affected tissues
18496

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Urology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Surgical treatment of testicular abscess with excision of affected tissues
0

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Surgical treatment of testicular abscess with excision of affected tissues
14071

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Urology, Andrology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Surgical treatment of testicular abscess with excision of affected tissues
13566

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Urology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Surgical treatment of testicular abscess with excision of affected tissues
12867

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Surgical treatment of testicular abscess with excision of affected tissues
16494

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Urology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Surgical treatment of testicular abscess with excision of affected tissues
12679

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Surgical treatment of testicular abscess with excision of affected tissues
14117

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Surgical treatment of testicular abscess with excision of affected tissues
14148

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Surgical treatment of testicular abscess with excision of affected tissues
14512

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Urology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Surgical treatment of testicular abscess with excision of affected tissues
13381

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Surgical treatment of testicular abscess with excision of affected tissues
14109
| from Booking Health GmbH

Testicular abscess is a purulent cavity in the corresponding organ. In most cases, the pathology develops as a complication of acute epididymitis, which is an inflammation of the epididymis. Less commonly, the infection develops due to injury, surgery, or enters the testicle through the blood, with purulent inflammation of other organs. The treatment of the diseases involves the use of percutaneous minimally invasive procedures and surgical interventions. Doctors in Germany prefer sparing interventions that preserve as much of the testicular parenchyma as possible. High-quality treatment in a good hospital will allow you not only to cure a dangerous disease, but also to maintain reproductive function and normal levels of male sex hormones.

Content

  1. Diagnostics
  2. Conservative treatment
  3. Percutaneous drainage
  4. Surgical interventions
  5. Why is it worth undergoing treatment in Germany
  6. Treatment in Germany with Booking Health at an affordable price

Diagnostics

 

The diagnostics of testicular abscess is complicated by the fact that the pathology is rare and has the same clinical manifestations as epididymitis and orchiepididymitis, against the background of which a purulent cavity is formed. These manifestations include pain and swelling in the scrotum due to an increase in body temperature. Therefore, the doctor is not always able to suspect the disease in time. The specialist usually focuses not on symptoms, but on dynamics. If within 5-7 days of antibiotic therapy the patient's condition does not improve, an ultrasound scan is required to detect a possible testicular abscess.

Ultrasound scanning is the most common instrumental diagnostic method. It helps to detect a testicular formation, but it is impossible to reliably distinguish it from a tumor. A clinical picture helps to establish the diagnosis of an acute abscess: the disease begins acutely, it is accompanied by fever, severe pain, while acute intoxication and the sudden appearance of severe pain are not typical for testicular cancer.

But a chronic testicular abscess with a mild fever may cause doubts about the diagnosis. In this case, the correct diagnosis can be made with the use of the following examinations:

  • Doppler ultrasound – with the determination of blood flow parameters.
  • Contrast-enhanced ultrasound.
  • Conventional B-mode ultrasound in dynamics: after 2-3 days, the configuration of the abscess changes, while the tumor remains stable during this time. 

MRI is the most accurate method for diagnosing scrotal diseases. It allows doctors to reliably distinguish the abscess from cancer in case of a doubtful diagnosis. MRI is usually performed if the clinical picture does not match the changes found on the ultrasound scan.

Other methods of medical imaging are used much less frequently. These include: 

  • Computed tomography.
  • Radionuclide methods. 

Both diagnostic options carry radiation exposure that is harmful to the health of the reproductive system. Therefore, they are resorted to only in extreme cases, if MRI is contraindicated or technically unavailable, and it is necessary to accurately distinguish the abscess from cancer before proceeding to treatment. The CT scan is performed with contrast enhancement. The difference between the abscess and the tumor is the absence of contrast accumulation. The principle of radionuclide diagnostics is the same: the radiopharmaceutical agent administered into the body is intensively accumulated by the tumor, but does not penetrate into the purulent focus, since there are no viable tissues in it.

As for laboratory tests, the most important ones are the following: 

  • Complete blood count – it helps to detect the signs of inflammation.
  • Blood culture – for suspected sepsis, which complicates the course of testicular abscess in 5% of patients. 
  • Punctate (pus removed from the abscess) culture – for determining the causative agent of the infection and assessing the sensitivity to antibiotics.
  • PCR and blood tests for genital infections – for finding out the cause of the abscess and the epididymitis that preceded it. 

Conservative treatment

 

Since the development of the testicular abscess is associated with a bacterial process, all patients receive antibiotic therapy. Nonetheless, it does not replace, but complements invasive or surgical treatment. In any case, the abscess must be opened and drained.

The exception is cases of delayed patient attendance. Sometimes the abscess does not break through, but becomes chronic. Its capsule thickens, the abscess is delimited from the surrounding tissues. If its size does not exceed one third of the testicle volume, then conservative management of the patient is possible. He receives antibiotics to suppress the infection. The bacteria in the testicle die, and scar tissue appears at the site of the abscess.

However, most patients require removal of chronic testicular abscess. Moreover, minimally invasive percutaneous puncture procedures are not suitable for its treatment. Such abscesses are removed during the surgical intervention, through an incision in the scrotum.

Percutaneous drainage

 

Acute abscess has a thin capsule. It can be drained without surgery, but with the use of a needle. This is a sparing and minimally traumatic treatment option, but it is suitable only for patients with a small abscess with clear boundaries, without complications.

The doctor inserts a hollow needle into the abscess, inside which there is a mandrin (core wire). This is an ultrasound-guided procedure. The core wire is then removed, and a guidewire is inserted through the needle into the abscess. After bougienage (dilation) of the channel, a drainage tube is placed along the guidewire, through which pus flows down. The tube remains permanently in the wound. The patient spends several days in the hospital, receives antibiotics, and after the complete elimination of the inflammatory process, the drain tube is removed and the wound is sutured.

Surgical interventions

 

More often, testicular abscess has to be treated with the help of surgery performed through a large incision. With this approach, doctors can successfully cope with abscesses of any size, with complicated and chronic forms of pathology.

There are two treatment options:

  • Organ-preserving surgery – abscess incision and drainage. 
  • Orchiectomy – removal of the testicle together with the abscess.

The choice of treatment option is determined primarily by the severity of the pathological process and the size of the abscess. If it affects more than half of the testicular parenchyma, then the organ is usually removed. Orchiectomy is performed in about 50% of patients with testicular abscess. The surgery may result in a deterioration in reproductive functions and lower levels of male sex hormones in the blood, which especially strongly affect elderly patients, aggravating the manifestations of age-related androgen deficiency.

Whenever possible, doctors in countries with advanced medicine perform organ-preserving interventions. German doctors strive to preserve the parenchyma in both young and elderly patients. This is important for young men, since many of them have reproductive plans, while testicular abscess and its overly radical treatment are one of the main causes of secretory infertility. The main problem for older men is hormone deficiency. More sparing surgery allows them to maintain normal testosterone secretion and reduce the need for replacement therapy.

Why is it worth undergoing treatment in Germany

 

If you have testicular abscess, you can undergo treatment in Germany. This country has a high level of medicine, and therefore you can count on the treatment to be as effective, sparing and safe as possible.

There are several reasons for you to undergo testicular abscess treatment in one of the German hospitals: 

  • Timely and accurate diagnostics using state-of-the-art equipment allows doctors to reliably distinguish the abscess from the tumor.
  • The use of sparing procedures for percutaneous abscess drainage instead of surgery through a large scrotal incision, if possible.
  • If surgical intervention is required, doctors give preference to organ-preserving operations.
  • Surgeons preserve as much of the testicular parenchyma as possible in order to reduce the risk of infertility and male sex hormone deficiency.
  • Modern surgical techniques: minimal incisions, vascular coagulation for blood loss reduction, neat sutures and prosthetics of the testicle in case of its removal for an acceptable aesthetic result.
  • Full-fledged anesthesia, high-quality symptomatic therapy and prevention of complications in the postoperative period. 

Treatment in Germany with Booking Health at an affordable price

 

To undergo testicular abscess treatment in one of the German hospitals, you can use the services of the Booking Health company. On our website, you can find out the cost of treatment and compare prices in different hospitals in order to book a medical care program at a favorable price. Treatment in German hospitals will be easier and faster for you, and the cost of treatment will be lower.

You are welcome to leave your request on the Booking Health website. Our specialist will contact you and provide a consultation on treatment in Germany. Booking Health will fully organize your trip to this country. We will provide the following benefits for you:

  • We will select the best hospital in Germany, whose doctors specialize in testicular abscess treatment.
  • We will solve the problem of the language barrier, and we will provide communication with the doctor of the German hospital.
  • We will reduce the waiting time for the medical care program. You will undergo treatment on the most suitable dates.
  • We will reduce the price. The cost of treatment in Germany will be reduced due to the lack of overpricing  and additional coefficients for foreign patients.
  • We will take care of all organizational issues: we will prepare documents, meet you in Germany and take you to the hospital, book a hotel, and provide interpreting services.
  • We will prepare a program and translate medical documents. You do not have to repeat the previously performed diagnostic procedures.
  • We will help you keep in touch with doctors after the completion of treatment in Germany.
  • We will organize additional diagnostic examinations and treatment in a German hospital. 
  • We will buy medicines in Germany and forward them to your native country. 

Your health will be in the safe hands of the world's leading doctors. The Booking Health specialists will help reduce the cost of treatment, organize your trip to a German hospital, and you can fully focus on restoring your health.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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