Testicular pain

[rich3009]

I have had a pain  around my left testicle for two weeks, I have an appointment for the doctors, the testicle itself is smoothe no lumps and is spongy, one of the veins or sperm vessels feels as though it has a small piece of grit inside it which is very difficult to locate each time, it feels like a tiny stone smaller than a pin head. I get a dull ache when sitting for long periods, which is relieved upon standing. Will it be possible to pick this up on ultrasound, I doubt my doctor will be able to locate it by feel as it takes me an age to find it.

[rich3009]

Doctor has had a good feel around says there no swelling or lumps, has put me on Doxycycline 100mg for 2 weeks, I have a history of Kidney stones and had a retrograde stone removal in November of last year, My doctor sugested that the nature of the operation could have caused a low grade epydidiymitis that has just reared its ugly head.

Also he advised me to drink more fluids, can dehydration play a part in epydidymitis

[HeinrikMD]

Hi,

If it is as small as you estimate - the ultrasound may be a better tool.  If it is also as small as you say, chances are it is not causing the symptoms.

If there is pain, chances are that there is an infection. The infection usually comes from the urinary tract. If you don't have any risk factors for sexually acquired infections - then your doctor may consider an anomalous urinary tract and evaluate this possibility.  

Pain may also come from overlaps in the nerves. There are some patients with problems in the back but report pain in the testicles, this is because the testes were originally inside the abdomen during embyonic development and descend into the scrotum. Hence, your doctor would likely inquire about any problems which you may think is too distant from the testicle and hence insignificant.