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Urology  (Expert Forum)
 | 
Pain in testicles
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.

Pain in testicles

by JohnnyW, Nov 16, 2004 12:00AM
I was hoping someone could possible explain what the following symptoms might possibly be. I've never had



anything like it before :(



Recently I met a girl and we went on a date, we spent much of the date kissing, but after a few hours of



kissing (and me becoming aroused off and on throughout the night) I felt a lot of pain around my testicles



and in my lower back. I have not had this problem being aroused when I'm alone. The pain lasted for several



hours and my testicles were extremely painful to touch, thankfully in the morning the pain was gone.



The next we day we met up and did the same sort of thing in the evening again, kissing for several hours.



From kissing and becoming aroused, stopping for a bit, and then kissing and becoming aroused again (and so



on) for a period of several hours, the pain returned, but MUCH worse this time. I was in so much pain that I



could barely walk or sit down (forcing me to embarrassingly explain my symptoms to my date!).



When I got home I examined myself and found that both testicles and the area around them was extremely tender



and very painful whereever I touched. The pain again seemed to extended to my lower back. My penis was not



sore. The plain lasted for several hours and only seemed to abate (if only slightly) when I got the desire to



urinate (which I hadn't done had all night, despite drinking alcohol, which struck me as weird).



I have since masterbated and had no pain whatsoever. I'm deeply perplexed by this and have organized an



appointment with my GP, but since it's not for a few days I was wondering if I could get some ideas on what



it might possibly be.



Yours worriedly,



- J

by Kevin Pho, MD, Nov 17, 2004 12:00AM
Tough to say without examination.  Infection would have to be ruled out - a urine sample can evaluate for a UTI as well as STDs such as gonorrhea or chlamydia.  



If infection has been ruled out, there are a variety of other scrotal abnormalities - such as torsion, or a testicular mass, that can also cause increased sensitivity and pain.  A scrotal ultrasound should be considered to evaluate these possibilities.



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
Member Comments (2)

by JohnnyW, Nov 17, 2004 12:00AM
To: Sexual Problem
0

by experiencediz, Dec 19, 2004 12:00AM
To: Sexual Problem
0
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