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Urology (Expert Forum)
Post-ejaculatory pain left testicle
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.
Post-ejaculatory pain left testicle
by eubako, Jun 01, 2004 12:00AM
I have recently had a lingering pain in and around my left testicle following ejaculation. It feels just short of the lingering feeling after being kicked in the groin, and lasts for an hour of slowly decreasing discomfort. A few years back I had a successful vasectomy reversal after 10 years of vasectomy(no children yet, but do have some sperm count). When I was young, 13, (I'm 52 now)I had a hernia operation which was diagnosed by my left testicle being larger than my right. (what kind of hernia does this indicate- it was diagnosed by a surgeon examining me after an appendectomy - I had no pain from it))The current pain almost feels muscular but is centered on my testicle. I recently had a prostate exam with excellent results, as well as a physical where my testes were examined(two weeks ago). Could my epididymus be infected? Any ideas or conjectures as to the problem? It does put a damper on my post orgasmic bliss!
Doctor's Answer
by Kevin Pho, MD, Jun 04, 2004 12:00AM
, Jun 04, 2004 12:00AM
Infection would be the first thing to consider - either to the epididymis or less likely, the prostate. The urine should be tested via urinalysis as well as a urethral swab be obtained for both chlamydia and gonorrhea. Imaging can be considered via a scrotal ultrasound (to evaluate the testicle and epididymis) as well as a transrectal ultrasound (to evaluate the prostate). Any infection should be appropriately treated with antibiotics.
If everything is negative, then a structural abnormality or hernia is possible - that should be evaluated via a general surgeon or urologist.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
If everything is negative, then a structural abnormality or hernia is possible - that should be evaluated via a general surgeon or urologist.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
