My father age 67 after swelling and pain in testicles did utrasonography - scrotum after doctors advise in the report it is found - right testis: it measures 3.8 � 3.3 � 2.8 cm, volume 19 cc. It is enlarged in size & shows mildly hypoechoic echotecture with increased vascularity on color doppler study. No e/o nodular or mass lesions seen. Right epididymis: head body & tail of right epididymis are enlarged in size & shows heterogeneously hyperechoic echotexture with increased vascularity on color doppler study. A cyst of size 9.5 � 7.5 mm is noted in head of right epididymis. Left testis: it measures 3.2 � 3 � 2.8 cm, volume 14.5 cc. It is normal in size & echotexture. However, mild increased in vascularity noted on color doppler study. No e/o nodular or mass lesions seen. Head of left epididymis: it measures 9.6 � 7.5 mm. It is normal in size, outline, echotexture and vascularity. A small cyst of size 3.5 � 2.6 mm is noted in head of left epididymis. Bilateral scrotal skin are thickened & edematous (r>l) bilateral debrigeneous & septate moderate hydrocele noted. Right spermatic cord is thickened (thickness 12.4 mm), echogenic & shows increased vascularity on color doppler study. Surrounding fat appears grossly edematous. Impression: 1. Right sided acute epididymis orchitis. 2. Right sided acute funniculitis. 3. Left sided acute orchitis. 4. Bilateral debrigeneous & septate moderate hydrocele. 5. Bilateral epididymal simple cysts. 6. Edematous & thickened scrotal skin. So now what to do will antibiotics cure my father is not a brave person and now after suffering from mild stroke in january also he has benign prostate hyperlexia, kidney stone, gb crystals, he had urinary tract infection after been in catheter for 2 weeks so now he is even more is afraid by the name of surgery so please guide me tell me what to do?