Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, I was wondering if I have epididymitis or spermatocele? Almost every day or every other day I feel a lump under my testicle that comes and goes. Occasionally, I feel a lump on the side of my right testicle that also comes and goes. This started happening almost two months ago and was having these effects after I had a urinary retention where urine refluxes back. Do you also know if trimethoprim will help resolve this issue? Please respond asap. Thank you.
[|AI|]  helloThanks for query. You have a doubt that you have either Epididymitis or Spermatocyte. Epididymitis is a painful swelling of the epididymis that occurs due to infection of epididymis and on self-examination can not be palpated separately from the testicle whereas Spermatocyte is a painless oval shaped lump palpated above and separate from the testis. The diagnosis can be confirmed by clinical examination by a qualified General surgeon and doing Ultrasound Scanning of scrotum. If it is Epididymitis it can get cured with antibiotic like Trimethoprim Spermatocyte is a benign cyst and does not require treatment. Chat Doctor.