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Urology (Expert Forum)
Testicular 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.
Testicular pain
by partstoob, Oct 06, 2004 12:00AM
I am 58 years old. I was born with undecended testicles. Given hormone shots at age 8 or 9 and had them surgically descended at age 10 or 11. The left testicle was always high up and never hung in the scrotum but seemed to frequently pull against the abdominal wall. It is much smaller and fleshy than the right testicle. It was never possible to manipulate it to check for lumps. It is always painful to try to get ahold of the testicle. The past few years there is periodic pulling upward with pain radiating into my left abdomin. For the past week the testicle itself has a burning sensation and moderatate pain and is pulling out of the scrotum more than usual. There are occasional moderate sharp pains radiating into the abdomin. A couple of other notes: I was born with a hernia which was surgically repaired at the age of 4 or 5. I don't know all the details but have vertical scars along both sides of my pubic bone which were cut again with the surgery to decend my testicles at age 10. What are the possibilities? Should I consider having the testicle removed?
Doctor's Answer
by Kevin Pho, MD, Oct 08, 2004 12:00AM
, Oct 08, 2004 12:00AM
If the left testicle continues to be undescended, an evaluation should be made to see if it can be manipulated into the scrotum.
If the testicle cannot be manipulated into the scrotum, then surgery should be considered - including removal of the testicle. If there is evidence of a recurrent inguinal hernia, then repairing this should be discussed as well.
I would consider a referral to a urologist for further discussion and evaluation.
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 the testicle cannot be manipulated into the scrotum, then surgery should be considered - including removal of the testicle. If there is evidence of a recurrent inguinal hernia, then repairing this should be discussed as well.
I would consider a referral to a urologist for further discussion and evaluation.
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
