testicle discomfort

[chris222]

i am a 48 year old healthy male.twenty years ago my right testicle was hurt when i came down hard on the middle bar of a bike. i had some chronic pain for a week or so and it pretty much went away and i never had it checked out by a doctor. over the years it always has been more sensitive than my other testicle, and would give me discomfort if it was accidently squeezed when sitting. lately if such an occasion arises, i am also feeling a slight pain or itch below my rib cage and around my breast nipple. i have no lumps or swelling present on my testicle. is this a cause for concern?

[Kevin Pho, MD]

I would obtain a scrotal ultrasound to evaluate the anatomy and structure of the testicle.  Conditions like torsion may be present (although the presentation is more acute), but deserves to be ruled out given the history of trauma to the area.  

Although less likely, I would also obtain a urine test to look for infection - which can also present with testicular discomfort.

It is possible that the scrotal pain can be referred to the rib cage - although I am not familiar with this particular symptom.  If it continues, you may want to consider a neurology referral.  

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.

[Dougiefresh]

0