Chronic Pain in Left Groin Area

I have had pain in my left groin / testicle area since August of 2001.  I am a healthy 34 year old male.  The doctors think the cause is from riding a lawn mower for 8 to 10 hours on the weekend when I mow the property that I own.  I did no other mowing.  I have not mowed for about a year and half.  I work in an Information Technology department as a manager with very little lifting or none at all.  Great working conditions and I have been with this company for 15 years.  I have been on numerous antibiotics over the past several years.  I have been to 5 different Urologist and they do not know what is causing the pain.  In April of 2002, I had my epididymitis removed from my left testicle.  The doctor also took a biopsy from my left testicle and everything was normal.  After the surgery, the pain was still there but worse.  In August of 2002, I had an Orchiectomy performed.  The doctor took out everything on my left testicle area:  all nerves, all veins, everything.  The cut is about two inches below my belt line.  After the orchiectomy, the pain was still present.  The doctor thought it was scar tissue and over time it would get better.  Two years later, no improvement.  I have gotten second and third opinions and everyone agrees that the doctor who performed the surgery did exactly what they would have done.  Three weeks ago, I went to a general surgeon to see if he could help.  He examined me and found nothing that would cause the pain.  
The pain on a scale of 1

[Kevin Pho, MD]

If you've been to 5 different urologists, it would be difficult to come up with something new that hasn't been covered.  Scar tissue and a hernia would be things that come to mind.  I would ensure that proper imaging has been performed - CT scan and/or MRI if necessary.  

Chronic prostatitis can cause discomfort in the groin area that is difficult to diagnose - ensure that tests for prostatic fluid and/or a transrectal ultrasound are considered.

Another consideration would be a neurology referral if it hasn't been done already.  If there is no clear cause despite a multitude of tests, a nerve block can be considered.  

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.
Medical Weblog:
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[kuntahene]

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[Erick in pain]

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