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Urology (Expert Forum)
Pain where the lower part of the epididymis connects with my right testicle
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 where the lower part of the epididymis connects with my right testicle
by mateos, May 31, 2007 12:00AM
For at least 5 yrs I have periodically felt a slight pain in the epididymis region of my right testicle. The pain is not universal and seems to be isolated to the vein structures in the region connecting the testicle to epididymis. Pain exists right at the point where the lower epididymis connects to the testicle and also exists in the tail of the epididymis.
During routine checks,there is no apparent pain or discomfort to the testicle and there are no "lumps or bumps" on the testicle itself. If I really feel around and run my fingers up and down the epididymis, however, there is sometimes a sharp pinching sensation where the epidiymis connects to the testicle and the veins/arteries in the area sometimes seem sensitive. The pain's sharpness will subside if I massage a few seconds. In the morning, or while lying in bed, I rarely experience anything it seems to only act up once I am up and active. It seems to coincide with athletic activity, or following athletic activity. Sometimes, while exercising, if I suddenly make a lateral lunge with my right leg, I will feel a slight twinge. Once the initial twinge has occured, however, it doesn't happen again -- almost as if I stretched it out. I will periodically feel a slight twinge if I bend down while wearing jeans and pressure is applied to the scrotal region.
I am 39, caucasian, healthy and was born with an undescended right testicle (which was repaired at birth).
During routine checks,there is no apparent pain or discomfort to the testicle and there are no "lumps or bumps" on the testicle itself. If I really feel around and run my fingers up and down the epididymis, however, there is sometimes a sharp pinching sensation where the epidiymis connects to the testicle and the veins/arteries in the area sometimes seem sensitive. The pain's sharpness will subside if I massage a few seconds. In the morning, or while lying in bed, I rarely experience anything it seems to only act up once I am up and active. It seems to coincide with athletic activity, or following athletic activity. Sometimes, while exercising, if I suddenly make a lateral lunge with my right leg, I will feel a slight twinge. Once the initial twinge has occured, however, it doesn't happen again -- almost as if I stretched it out. I will periodically feel a slight twinge if I bend down while wearing jeans and pressure is applied to the scrotal region.
I am 39, caucasian, healthy and was born with an undescended right testicle (which was repaired at birth).
Doctor's Answer
by Forum-M.D.-, Jun 01, 2007 12:00AM
Infection should be ruled out. This can be done with a urine test and scrotal ultrasound.
The prostate should also be examined and palpated to exclude infection. Any prostatic fluid should be sent off for analysis and culture. A transrectal ultrasound can be done to image the prostate for any abscesses.
If infection has been ruled out, you can evaluate for a hernia, referring pain to the testicle. Any masses or cysts that may be seen during imaging can be treated surgically.
These options should be discussed with your 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.
kevinmd_
The prostate should also be examined and palpated to exclude infection. Any prostatic fluid should be sent off for analysis and culture. A transrectal ultrasound can be done to image the prostate for any abscesses.
If infection has been ruled out, you can evaluate for a hernia, referring pain to the testicle. Any masses or cysts that may be seen during imaging can be treated surgically.
These options should be discussed with your 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.
kevinmd_
Member Comments (2)
by mateos, May 31, 2007 12:00AM
To: Testicular Cancer
0
by mcgoo1965, Jun 19, 2007 12:00AM
To: Testicular Cancer
0
by abpw, May 04, 2008 02:43PM
A related discussion, Epididymis tail pain was started.