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Urology (Expert Forum)
Massive 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.
Massive Testicular Pain
by Beth78, Nov 01, 2005 12:00AM
My husband is Shane [34 y.o.a]is in need of help.Shane
has always been an extremely active child and teenager
with sports. The problem first started when he was 18.
Shane had severe acne problems and was put on
Accutane. The first treatment lasted for a 3 month dose. It
worked until a couple of months later the acne came
back in worse shape so the dermatologist placed him
on Accutane again for another 3 month treatment which
he did not complete. At the time of the treatments
Shane was lifting weights heavily. He was married and
had one child. His wife had left him and their child [2 yrs later]for another man shortly after the treatments which caused
severe stress on top of the physical pain. Ever since then he has had excruciating pain generating from the testicles. Within the year of the Accutane treatments he experienced the loss of muscle use in his right leg and could not walk for 6 months without a cane. He could no longer lift weights and he loss
the use of the muscles on the right side of his face
for a few months. His muscles were hurting throughout
his body including his right testicle and sought help from every urologists in San Antonio Texas. No one could help or answer any
questions and most thought he was crazy.I have been married to Shane for the last 10 years faithfully. These last 2 years I have been watching him wither away. He does not get more then 2 hours of sleep in a row every night. Constantly tossing and turning from the pain. We know it is NOT fibromalygia! Or IC.
We have had urine tests, urine cultures, blood tests,ultrasounds and have only found vericose veins. He tells me that the pain generates from the top of the testicle [epididymis].The main tubes that lead to the testes will swell up and begin to hurt. It use to be 10 years ago that we could be sexually active - he would ejaculate to relieve the pain building in the testes but,he
would have to lay down for many hours to recooperate and after he still had no energy. Up until 5 years ago he only complained of the left side - now it is both with the left side dominating.
Now it has become a condition of Hell. If he were to be in the least bit aroused - which he does not have to even get an erection and in most cases don't - then he has to alliviate the pain. Now if we do become sexually active when we are done you can see him literally break down. He experiences pain in the
testicles [epididymis], pain between the testes and anus, lower back pain, dizzy, wanting the throw up,joints in his fingers ache and swell, sweats,feverish, NO energy, chest/lungs. he passed a kidney stone 2 years ago. It burns when he urinates. He is deathly afraid to fall asleep in fear of a dream that will provoke pain. It is like a water hose that is kinked - it then builds pressure and that it what he feels he needs release the pressure. Now, releasing the pressure is just as painful. He does not want to have sex - he fears the
Doctor's Answer
by Kevin Pho, MD, Nov 02, 2005 12:00AM
, Nov 02, 2005 12:00AM
Difficult to say without examination. And there clearly has been a comprehensive evaluation including blood tests and imaging studies.
If the testicle has been appropriately imaged, you can consider the prostate - starting with looking for infection as well as imaging with a transrectal ultrasound. A prostatic massage can be considered, and any secretions sent off for analysis and culture. A cystoscopy can be considered if a lower GU tract disease is suspected.
Further consultation can be considered with a urologist - preferably at a major academic medical center.
You can consider a referral to a pain management clinic if the workup is non-revealing.
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.
http://www.straightfromthedoc.com
If the testicle has been appropriately imaged, you can consider the prostate - starting with looking for infection as well as imaging with a transrectal ultrasound. A prostatic massage can be considered, and any secretions sent off for analysis and culture. A cystoscopy can be considered if a lower GU tract disease is suspected.
Further consultation can be considered with a urologist - preferably at a major academic medical center.
You can consider a referral to a pain management clinic if the workup is non-revealing.
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.
http://www.straightfromthedoc.com
Member Comments (3)
by Beth78, Nov 01, 2005 12:00AM
To: Misc.
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by Beth78, Nov 01, 2005 12:00AM
To: Misc.
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by Science, Nov 03, 2005 12:00AM
To: Misc.
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