CREMASTERIC STRAIN WITH SPASM

[alfredo1]

Dear doctor,for 3 or 4 years i have been having this pain always on my left side very very near or inside my left testicle my urologist had me taken all kinds of tests,x rays , ultrasound , mri and all were negatives my urologist said there is no cyst or cancer which is good.he told i have CREMASTERIC STRAIN WITH SPASM he gave me pain pills but he has no answer why i get this pain 4 - 5 times  a week i asked if any operation or anything surgical could be done and he said NO.last week i went to another urologist for a second opinion and i brought all the tests with me and i told my urologist told me i have this CREMASTERIC STRAIN WITH SPASMAND I COULD NOT BELIEVE HE TOLD HE NEVER HEARD OF CREMASTERIC STRAIN WITH SPASM. HE CHECKED MY TESTICLE AND MY PROSTATE and he said i don't know what to tell you except take the aleve and tylenol # 3 with codine.doctor i want to tell you that i get this pain if i am sitting ,standing, exercise and i wear a supporter. it drives me crazy i get deprssed, insane please i need and AN ANSWER WHY I GET THIS PAIN and what is CREMASTERIC STRAIN AND WHAT  COULD BE DONE NOT TO GET THIS PAIN, PLEASE DON'T TELL ME TO GO SEE ANOTHE DOCTOR I SAW 3 ALREADY 2 UROLIST AND MY FAMILY DOCTOR. PLEASE , PLEASE GIVE ME ANSATISFACTORY AND HONEST ANSWER , I WILL DO ANYTHING
SINCERELY , ALFREDO1  

[Kevin Pho, MD]

You have had a comprehensive evaluation for your symptoms - including several consults and significant imaging of the area.  Many of the more common diseases can be ruled out.

An inguinal hernia can sometimes cause referred pain to the area - but likely would have been ruled out with the imaging studies.  You can consider a referral to a surgeon to evaluate this.  

Otherwise, if the tests continue to be negative, a referral to a pain management clinic can help with a regimen to manage the pain.

A referral to a major academic medical center can be considered for another opinion.

These options can be discussed with your personal physician.

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_