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Urology (Expert Forum)
Pain in 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 in Testicle
by Nick__0, Apr 28, 1998 12:00AM
I am 38 yrs old, and have been experiencing pain in left testicle area for @2+ weeks. Have self-examined-detected NO lump. Also seen family MD who examined and did not detect any lump/pathology. However after sex and while erect, I again examined my testicle and detected a small but distinct mass/lump on the lower side. Again, no sign of it when flacid. I originally suspected bruising from extended sessions on stationary cycle was causing pain (and pain/discomfort does pick up after cycling). Any insight or direction will be appreciated - including whether this might be a coincidental discovery rooted in the increased blood flow (e.g., circulatory)? Thanks in advance.
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Dear Nick,
Thanks for your question.
A persistent testicular pain, even in the absence of a mass that can be felt, is of concern. I would suggest that it be examined by a urologist. An ultrasound may be required as there are intratesticular tumors that cannot be felt.
Testes usually swing out of the way when one ‘cycles. Their blood supply comes from above and is not compressed when cycling. Therefore I do not see a cause for your discomfort on this basis.
Bicycling does apply pressure to the corpora cavernosa (structures that engorge with blood during an erection) and urethra. Certainly these can be affected when doing this activity. Classically one gets numbness of the penis for a period following this sport. Hard, n arrow racing type seats would be most likely to cause this. Gel seats and split seats are available for this. Again, I suggest that you consult a urologist.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. The Henry Ford Hospital Department of Urology has experience in the evaluation and treatment of problems such as you describe. We would be most interested in helping you. You can reach us through our toll-free number (1-800-653-6568). We can also arrange local accommodations through this number if this is your need. Please bring any x-rays [and pathology slides] (not just the reports) as well as any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
HFHS M.D.-SAL
*Keyword: Genital trauma
