Pressure, fullness, irritation in left abdominal, testical, penis, groin

[Painfor6months!]

A little over 6 months ago I began to have a slight perineal irritation. I went to a clinic and got tested for all stds which cam back negative. I thought it was a rash or something cause it was like pressure and itchy a little but 2 dermatologists said the area wasnt even red. Just the same the prescribed a mild hydrocordizone cream which seemed to help kind of so i ignored it. After a month or so I began to get a draggin sensation in my left testicle not really pain but awarness like numbness. I went to a urologist and blood and urine came back no infections. He also ordered a testicular ultrasound to rule out torsion or anything like blockage. I also took 7 days of cipro and 21 days of doxycycline in case it was a epididimitis or some other low grade infection they couldnt detect. Then the pressure continued up into my abdominal area near the hip bone. The pressure comes and goes but started to happen more and more frequently. Its worst when im sitting, spreads out when I lie down and is most comfortable standing or sitting on the toilet.  Had a ct scan of my addominal and pelvis area. Both came back unremarkable except for a slight thickening of the colon wall. Now the whole left side is irritated sporadicly The pressure in the side is most prevelant but also last few days i get a stinging in the tip of my penis it can be irritated just from wealking. I see now visible sores discoloration or anything I have no pain with urination or discharge. . No sores ive checked and d0cs have checked frequently.

[Kevin Pho, MD]

You have had a pretty comprehensive evaluation for your symptoms.  The abdominal/pelvic CT scan would rule out many of the major causes.

Prostatitis can still be considered.  Further evaluation with a prostatic massage and subsequent analysis of the prostatic fluid can be considered.  A transrectal ultrasound can be considered as well to rule out a prostate abscess.  There are cases of prostatitis that may require several months of antibiotic therapy.

If the symptoms continue, more extensive imaging can be considered.  This can include an MRI of the affected area.

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_

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[johnjoe785]

A related discussion, Pain in testicle and Sensitivity in Penis was started.