Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urology (Expert Forum)
scrotum 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.
scrotum pain
by calicokopp, Dec 18, 2005 12:00AM
I am a 56 year old male with severe left testicular pain since 1997 and have been thru the proverbial mill to try to resolve the problem.
I 5’10, 182lbs, physically active male. I run 1 to 2 miles every other day. Swim and strength train with weights three times a week.
My pain is very sharp and in the left and right testicle. It came on suddenly with no trauma, before a trip to CA. in 1997. Since that time I have seen a number of urologists, surgeons, and pain management doctors.
I have also seen Doctors at the Mayo Clinic in Florida in 1997, with no pain relive.
I have taken all kinds of pain meds, antibiotics and had all tests know to man. The results are these:
The pain is very sharp and seems to get worse with physical strain and with sexual contact. It also gets bad when I sit and the testicle presses on a chair or a seat. When I stand the pain does lessen, however I live with this almost every day, the pain strengthens and wanes as the activity changes. At times the pain is so debilitating it is hard to walk or get going out of bed.
No cancer no masses, no torsions. Following is recent result of my last ultra sound.
10/22/05
History of left and right varicocele with intermittent pain.
Normal Doppler flow both testicles without any evidence of torsion.
No masses. There are trace hydroceles bilaterally. There is a small right testicular
Varicocele, which is unchanged from the previous study. A moderate sized varicocele in the left testicle unchanged from the last study
Impression:
Bilateral varicocele . Small on the right and moderate on the left, not significantly changed, in comparison to the previous study
.
No evidence of torsion.
That is the same results I have received for years. I have had doctors say there is no evidence of removal of the varicocele, will help relive the pain. Some say it might, some say the operation can indeed make it worse. I have had it with pain management with pain blocks that don’t work to pain meds that don’t work either and that really hurt my body. I am finally at the end of the rope.
I was ready to have my doctor remove the left varicocele because I don’t know where to turn. I also have a hernia on the left side, no groin pain, and a small one on the right side. As of today, the pain on the right side is unbearable, with hernia surgery in 7 days. My urologist is not in favor of the surgery at this point, what do you think, I am in very severe pain at this point.
Can varicocele cause this pain, should I have them removed, and
also have the hernia surgery. Don't know what to do. Pain is bad!
Doctor's Answer
by Kevin Pho, MD, Dec 19, 2005 12:00AM
, Dec 19, 2005 12:00AM
Difficult to say without examination. With the ultrasound, it is unlikely that anything more than the varicocele is present.
If the pain continues, you can discuss whether removing the varicocele can help with your symptoms. However, your doctors are correct in saying that there are no guarantees.
Other possibilities can include a hernia - and a pelvic CT scan can be considered to evaluate the severity of the hernia, as well as looking at other pelvic masses that can lead to this problem.
I cannot make any specific recommendations for surgery without examination.
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.
kevinmd_b
If the pain continues, you can discuss whether removing the varicocele can help with your symptoms. However, your doctors are correct in saying that there are no guarantees.
Other possibilities can include a hernia - and a pelvic CT scan can be considered to evaluate the severity of the hernia, as well as looking at other pelvic masses that can lead to this problem.
I cannot make any specific recommendations for surgery without examination.
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.
kevinmd_b
Member Comments
by bruceba, Jan 10, 2006 12:00AM
To: Urology - General
0
