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Urology (Expert Forum)
extreme pain in testis
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
extreme pain in testis
by adammtg, Feb 02, 2004 12:00AM
Hello, I am a male 23 yrs old and have extreme testicular pain and what feels like swelling in both testicles at the top and bottom for 12 weeks now.
I have had 3 urologists see me. all 3 did ultrasounds of my testicles. All came back clear. I have had complete blood work urine work, all clear.
I was diagnosed by the 1st with epidydimitis and put on 6 weeks of levaquin and an anti inflammatory with no help. The second diagnosed prostatitis and continued my antibiotics and antiinflamms, no luck. the 3rd diagnosed a muscle problem. put me on flexeril and demerol. These drugs have helped my pain a little.
I also have lower back pain and shooting pain in my legs. I have had an mri of my pelvis, brain, sacrum and lumbar all were negative. I have had xrays of my tailbone, neck and back. the xray of my back did show a narrowing between the 4th and 5th Lumbar.
I have been receiving chiropractic manipulation for 5 weeks now with some temporary relief. I have been in bed for 12 weeks now. I have gotten better 4 times. each time lasting 2 -4 days.
I have figured out that when I stand up to go to the bathroom, my testicles "swell" and hurt. I can alleviate the pain and swelling somewhat by lying back down or squatting. I also notice that when my testicles are pulled up(when I am cold or my feet are cold) I have no pain or swelling when I get up and walk.
At this point I am considering pain mangement. Has anyone heard of this intermiitant swelling and pain coming and going like mine.
I am confined to lying down because of fear of the pain starting again. I just graduated College and want my life back. Please help?
I have had 3 urologists see me. all 3 did ultrasounds of my testicles. All came back clear. I have had complete blood work urine work, all clear.
I was diagnosed by the 1st with epidydimitis and put on 6 weeks of levaquin and an anti inflammatory with no help. The second diagnosed prostatitis and continued my antibiotics and antiinflamms, no luck. the 3rd diagnosed a muscle problem. put me on flexeril and demerol. These drugs have helped my pain a little.
I also have lower back pain and shooting pain in my legs. I have had an mri of my pelvis, brain, sacrum and lumbar all were negative. I have had xrays of my tailbone, neck and back. the xray of my back did show a narrowing between the 4th and 5th Lumbar.
I have been receiving chiropractic manipulation for 5 weeks now with some temporary relief. I have been in bed for 12 weeks now. I have gotten better 4 times. each time lasting 2 -4 days.
I have figured out that when I stand up to go to the bathroom, my testicles "swell" and hurt. I can alleviate the pain and swelling somewhat by lying back down or squatting. I also notice that when my testicles are pulled up(when I am cold or my feet are cold) I have no pain or swelling when I get up and walk.
At this point I am considering pain mangement. Has anyone heard of this intermiitant swelling and pain coming and going like mine.
I am confined to lying down because of fear of the pain starting again. I just graduated College and want my life back. Please help?
Doctor's Answer
by Kevin Pho, MD, Feb 02, 2004 12:00AM
, Feb 02, 2004 12:00AM
You state you have been to 3 urologist as well as multiple MRIs of the pelvis, brain, sacrum and lumbar spine. You have been treated for epididymitis and prostatitis without success.
That is a very thorough evaluation - the only other urologic evaluation would be a transrectal ultrasound to image to prostate. If the urology route is completely not revealing, you may want to consider referral to either a neurologist or physiatrist (a rehabilitation specialist). It is possible that the pain may be referred from the narrowing of the back, or may be due to a nerve problem. You may want to consider an EMG by a neurologist for further evaluation.
Many physiatrists are also pain management specialists who can suggest a chronic pain relief regimen.
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.
Thanks,
Kevin, M.D.
That is a very thorough evaluation - the only other urologic evaluation would be a transrectal ultrasound to image to prostate. If the urology route is completely not revealing, you may want to consider referral to either a neurologist or physiatrist (a rehabilitation specialist). It is possible that the pain may be referred from the narrowing of the back, or may be due to a nerve problem. You may want to consider an EMG by a neurologist for further evaluation.
Many physiatrists are also pain management specialists who can suggest a chronic pain relief regimen.
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.
Thanks,
Kevin, M.D.
Member Comments (1)
by survive2night, Feb 02, 2004 12:00AM
To: Urology - General
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