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Urology (Expert Forum)
Testicle Pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Testicle Pain
by stevenmail11, Sep 24, 2003 12:00AM
Hi,
I'm hoping for some help in figuring out what is
causing the pain in my left testicle. I have seen a
urologist, however he doesn't seem to be able to tell
what is wrong and hasn't been able to diagnose the
problem. By the way, I am 26 years old.
The pain started about two months ago. It started to hurt while I was bowling with some friends. I really think it was the bowling that brought on the problems because I had the same pain about 6 months earlier when I was bowling, however that time the pain went away after a couple of hours.
Here are my symptoms
-pain at the top of the left testicle (epididymis I
think)and a little bit of pain in the right one as well
-pain gets much better when I do not have
sex/masturbate for a couple of days
-pain gets worse following ejaculation, although it takes a couple of hours for it to really start hurting
-pain in stomach and frequent need to urniate (although I've had these problems for years)
-No burning associated with peeing
Here is what has been done so far:
-Ultrasound was negative for any problems
-pee tests (three of them) were all negative for
infection
-negative for hernia (turn your head and cough test)
-tested negative for all STDs
-a cystoscopy (camera sent up the urethra) was done and the doctor said everything looked okay including the prostate...except that there were a few varicose veins
-because no infection shows up in the pee test the doctor doesn't think it is epididymitis or prostatitis
Any suggestions would be helpful. The urologist sent me home with no diagnosis and told me that it may just take a while to heal. But it has been two months and it isn't better!
Thanks
I'm hoping for some help in figuring out what is
causing the pain in my left testicle. I have seen a
urologist, however he doesn't seem to be able to tell
what is wrong and hasn't been able to diagnose the
problem. By the way, I am 26 years old.
The pain started about two months ago. It started to hurt while I was bowling with some friends. I really think it was the bowling that brought on the problems because I had the same pain about 6 months earlier when I was bowling, however that time the pain went away after a couple of hours.
Here are my symptoms
-pain at the top of the left testicle (epididymis I
think)and a little bit of pain in the right one as well
-pain gets much better when I do not have
sex/masturbate for a couple of days
-pain gets worse following ejaculation, although it takes a couple of hours for it to really start hurting
-pain in stomach and frequent need to urniate (although I've had these problems for years)
-No burning associated with peeing
Here is what has been done so far:
-Ultrasound was negative for any problems
-pee tests (three of them) were all negative for
infection
-negative for hernia (turn your head and cough test)
-tested negative for all STDs
-a cystoscopy (camera sent up the urethra) was done and the doctor said everything looked okay including the prostate...except that there were a few varicose veins
-because no infection shows up in the pee test the doctor doesn't think it is epididymitis or prostatitis
Any suggestions would be helpful. The urologist sent me home with no diagnosis and told me that it may just take a while to heal. But it has been two months and it isn't better!
Thanks
Doctor's Answer
by Kevin Pho, MD, Sep 26, 2003 12:00AM
, Sep 26, 2003 12:00AM
You have had a pretty comprehensive evaluation for your testicle.
Make sure that the prostate is truly not infected. There are some cases with a negative urine test. A prostatic massage with culturing and analyzing the prostatic secretions can be done to make sure that prostatitis isn't present.
Other causes including epididymitis and hernias have already been evaluated for.
I would consider a referral to a neurologist. There are several nerve disorders or impingement syndromes that can refer pain to the testicle. You may want to consider electrodiagnostic testing the make sure that this is not the case.
If the pain is worse on exertion (i.e. bowling), you may want to consider musculoskeletal causes, like a groin pull, which may contribute to your symptoms. A referral to a physiatrist (rehabilitation specialist) can help evaluate your symptoms.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Make sure that the prostate is truly not infected. There are some cases with a negative urine test. A prostatic massage with culturing and analyzing the prostatic secretions can be done to make sure that prostatitis isn't present.
Other causes including epididymitis and hernias have already been evaluated for.
I would consider a referral to a neurologist. There are several nerve disorders or impingement syndromes that can refer pain to the testicle. You may want to consider electrodiagnostic testing the make sure that this is not the case.
If the pain is worse on exertion (i.e. bowling), you may want to consider musculoskeletal causes, like a groin pull, which may contribute to your symptoms. A referral to a physiatrist (rehabilitation specialist) can help evaluate your symptoms.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments (5)
by stevenmail11, Sep 26, 2003 12:00AM
To: Urology - General
0
by RichT, Oct 04, 2003 12:00AM
To: Urology - General
0
by travissss, Oct 04, 2003 12:00AM
To: Urology - General
0
by LHE444, Oct 16, 2003 12:00AM
To: Urology - General
0
by sully107, Nov 26, 2003 12:00AM
To: Urology - General
0
