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Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
Question Title: Testicle pain steming from between the legsForum: The Urology Forum
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| I am a bicycle rider that rides 2 to 4 times a week from 1 to 2.5 hours. On a ride I experienced pain that came from my lower back down to my left testicle. It has been 1.5 weeks since this has happened. Initially the testicle lifted and was sore, but has since dropped back down and I feel pain at the dorsal end of the scrotum. I was wondering if this damage could have occured from my bicycling (I sat on the seat once after the incident (but did not ride) and it was sore)? Secondly, what was damage? A nerve or blood supply? I went to a doctor and after an examination he suspected I just hurt myself bicycling. He ordered an urinalysis and ultrasound of the left testicle. The urinalysis and ultrasound had no significant findings. Thank you very much for any information you can provide me!
= Dear John Thank you for your letter. Riding a bicycle for a long time has been associated with few urological problems. For example an elevated PSA was found in some patients who were ardent bikers. Some experts believe biking could also cause erectile dysfunction by causing decreased blood flow to the penis. You describe a pain that started in your back and radiated to the testicle. This could also be a neuralgic pain that may have started from the stooped position one assumes while biking. Occasionally a small renal stone passing down the ureter can cause similar pain. It could also simply be a bruising of the area under the scrotum from long hours of biking. Since the scrotal ultrasound and the urinalysis were normal I do not think there is any thing to worry about. Perhaps you need to look at the type of the bike seat if this becomes a recurrent problem. Thank you.
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