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Is a high hanging left testicle common with Epiddymiits or prostate inf...
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Is a high hanging left testicle common with Epiddymiits or prostate infection?

For a background, I have had pain over the years on both sides, usually after straining myself.  Well its been a while since my right side has bothered me and it hangs lower than the right and seems to be doing fine.  Back in March I had a slght accident on my motorcycle where I had to drop down my left leg to catch myself and the bike as it tried to slip out from under me.  Follow up by a couple days later I fell hard on my left side and back carrying furniture.  Well not to long after that I started feeling the usuall groin pain and I just chalked it up the it being a groin strain, adominal (abdominal) strain.  
  A few days later during sex I noticed pain while ejaculating.  Nothing extreme, just a slight pain between the area of my testicles and anus and just during the part where the muslces contract down there for the ejaculation, and only on the left side, and it would only last during the initial contraction for about 1 second and nothing else.  But it got my attention.  
I began researching the internet as usuall and started over manipulating my left testicle by examining it.  I noticed that the left testis sits up alot higher than my right.  And initially found a bump on top near the head of my epididmis.  Now I know what a cyst is as there is one freely dangling off my right testicle for over  10 years.  And there is a cyst that moves right next to the bump.  Via translluminatin of my own light the bump easily illimunates, I know am thinking it could be the appendix of the testis that i am seeing.  Anyways, I notice really no pain on examination for the most part.  My Epididmis on this side is slightly more puffy than the right and feels like it has harder viens in it as compared to the right.  As far as checking for torsion, the viens running down on both sides seem about the same.  Maybe just slight more on the problem left side.  
  I did see the doctor in April and took levaquinn 500mg for about 10 days and the pain during the ejaculation subsided.  My left testicle still hung high though and still the usuall occasionally admonine pain and thigh groin pain that is near the testicle.  Well needless to say the ejacuation pain came back, and the doctor put me on 750 levaquin for a week and to check back if its still there.  Well the ejaculation pain is already gone after the 2nd day of antibioc, but still the occasionall ab/groin/inner thigh pain, Nothing bad, just annoying to a worrier like me.  
  The first time I saw the doctor he checked my testicles by hand, although i never pointed out the spot on top.  He also checked for hernia by the finger method and digital rectal prostate exam.  He said he thought it was just the prostate and made no concerne about my testicle hanging high, but of course I am sure my scrotum was cold by that time hiding the difference.   So I am kind of up in the air as what this could be.  Can a ab/groin strain cause the left testical to pull up.  It seems I had that happen on my right side years ago, but cant remember.    
  To sum this all up, pain generally in the groin, inner thigh, abdominal area.  My testicle does not seem to hurt, It just sits there hanging high, but it does move with temperature, just not nearly as low as the right.  My ejaculation problem so far is gone with this prescription, but is it going to come right back?   My job is walking carrying mail so I have plenty chances to irriate the testical, under load and tripping, etc.   I am supposed to get back with the doctor if the presciption doesnt work.  In which I am worried it will do nothing for the high hanging testicle, generall area pain, but will have to see.  He has not done any lab work, yet.  But I am sure that would be next.    Any comments or suggestions?
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Avatar_n_tn
I forgot to also note, I am 40 years old and relative good shape.  5'7"   160Lbs.    
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Avatar_dr_f_tn
Hi,

One side of the scrotum can hang lower than the other. This is part of normal anatomical development and is related to the physiological processes that mediated formation and descent of testes.
Te pain in the perineal region and in the groin can be related to epididymitis or prostatitis. Prostatitis seems more likely as your doctor also seems to concur after an examination of the prostate.

An examination of the blood, including WBC count, will provide information regarding any infection in the body.

Treatment with Levaquin should help in curing the infection especially if the response is obvious after 2 days of treatment.

This indicates that the problem could have been due to infection and the treatment is helping to cure you of the infection.

In the interim, avoid strenuous exertion, drink fluids in excess of 2000 ml, avoid caffeine, alcohol and other prostate irritants, and avoid sitting on hard surfaces or for prolonged periods of time.

Keep us posted.
regards,
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Avatar_n_tn
Thanks for your reply Dr Mathews!  I very much appreciate your input.  

You mentioned not sitting on hard services, and thinking about it.  All of this started by me buying a dirtbike that had a narrow and hard uncomfortable seat.  I wonder if that irritated the prostate?  

I know for sure that after riding the dirtbike for a while I would feel a tight feeling below my scrotum and above my rectum on the left side I guess about where the prostate would be. I sold the dirtbike over a month ago so that problem is solved.

The general abdominal, groin, and thigh pains are still around, nothing unbearable, I was just trying to figure out if they where associated with the prostate ejaculation pain or if I simulateously pulled my groin muscles and had a prostate infection at the same time.  It bugs me that the general pains have hung around, and the ejaculation pain keeps coming back after antibiotic treatment.
  
I do also take caffiene 200mg of a morning.  I guess I should stop that.

Again thanks for your input!   Roger
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Avatar_n_tn
I forgot to ask if is normal with a prostate infection to only have just the left side ejaculatory pain and none of the other symptoms (urinating pain, urgency, etc)associated with prostatis?
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Avatar_dr_f_tn
Hi,

It is possible that the pressure on the perineal region could have aggravated the prostate problem.
Prostatitis has a tendency to recur even after antibiotic treatment and is best managed with a combination of dietary control, exercise moderation, and antibiotic treatment for longer durations as warranted.

Pain from a prostate infection or inflammation can radiate to the entire perineal region or be restricted to a particular side or region. It need not present with the entire symptom complex.

Avoidance of irritants would help clear up the inflammation.
The pain radiating from the back to the legs may be associated to spine-related problems, but if occuring simultaneously with the ejaculatory pain, it could be prostate related.

Infection or inflammation of the epididymis on one side can also explain the left-sided pain.

Keep us posted.
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Avatar_n_tn
Went to the doctor as a followup on wednesday.  He wants me to stay on the pescription of levaquin for a few more days.  Otherwiise I think he felt everything was fine.  He did examine my testicles for the 2nd time, I think he may have forgot he already did that a couple months ago as he is a general doctor.
  I still have pain in my Ischial bone area.  It is tender to the touch and aches a little while walking and sitting on of course.  This is the area that got sore from riding.  It is definitly sore in the Ischial spot, not sore around prostate or anything.  
  I did have another ejaculation and the pain is back.  But now I am wondering if it is from the sore Ischial area.  Is the pelivic muscles attached to that area where they could cause a ejaculation pain arising from near that area?
  Regardless, I have decided I am going to have to see a Urologist.
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Avatar_n_tn
I am wondering if I could have Pudendal Neuralgia.  After all  this all arose after riding a dirtbike with a hard seat.
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Avatar_n_tn
Here are my lastest symptoms.  General pain brought on by walking during my job in the left ischial tuberosities.  After coming home and sitting on it it aches in that area, and by pressing with my hand it is tender to the touch right under the ischial boney protusion.  I may feel some aches on out towards the outer side of my left pelvis.  And I have the ejaculation pain which is coming from the left perinial area.  I did not catch if it was exactly coming from the same area as the sore ishial area, buts its close.  The pain is just a short pain, while the muscles contract and goes away when they loosen up during the orgasm.   No burning penis pain, no bladder problems.  I do notice every once in a while a shooting pain, starting from the perinial area, and ends at the left side of the tip of my penis.  This can happen while I am just sitting at the computer.  Kind of feels like a shooting tickly pain.   Just real quick and its gone for a while, or days.
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