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Urology  (Expert Forum)
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233190?1193370436
pain in his testicles and unable to get erection
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 his testicles and unable to get erection

by Lana3, Jun 27, 2005 12:00AM
Tags: pain, erection
This question is for an older friend. He told me he had surgery awhile back (app 1 – 1.5 years ago) for intestines.  Since then he has not been able to get an erection.  At times when he is sleeping he will get severe pain in his testicles.  He would expect to have a wet dream, but this does not happened because he is not able to get the erection.  We were very close physically and he said it was causing him testicle pain, and he was not able to get the erection.  



I asked him how often he sees a Dr. and he said about every 6 months.  I don’t think he has discussed this with anyone else.  He is dependant on others to take him to a Dr. and I can not take him for a number of reasons.  I certainly would if I could. Could you please give any reasons on why he may be having this problem?  And if there are any suggestion to help?    I am not his family, but a woman friend.



Thank you for any help.

by Kevin Pho, MD, Jun 28, 2005 12:00AM
Difficult to say without examination.  Certainly it may a complication from the surgery, with nerve damage.  If there are concurrent diseases like diabetes or peripheral vascular disease, that can play a role in worsening the erectile dysfunction.  



I would check the testosterone level to ensure low levels aren't contributing to the problem.  



Regarding the testicular pain, a scrotal ultrasound can be considered to ensure there is no damage to the anatomy.  



If there is no evidence of organic damage, you can consider using medications like Viagra, Levitra or Cialis.



You can discuss these options with your personal physician 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.

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