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testicle pain

after having a bowel movement, immediately pass seminal vesicle fluids, large amount, then starts the testicle pain quite painful and throbbing , 6/10 pain scale.  lasts approx 30 minutes. has done this for 8 years. getting worse. during normal ejaculation , quantities of ejaculate are very minimal.  have been checked by urologist 3 separate times having u/a, digital prostate milking and palpation with no known etiology so far. was told it is "normal" except for the pain. told to take avodart and saw palmetto. should i be concerned?  i'm very healthy otherwise.
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242579 tn?1252114771
Thank you for your question. What you are describing is consistent with the condition Orchialgia, or chronic testicular pain. Testicular pain may be caused by injury, infection, trauma, torsion, cancer, or as a side-effect of surgery (vasectomy). The management of orchialgia is grounded in clinical assessment. Risk for sexually transmitted infections, such as gonorrhea and chlamydia, the presence of testicular cancer or testicular torsion should also be assessed.

The management of chronic testicular pain should include a careful assessment of testicular and non-testicular causes. Relief of symptoms is not always possible. Surgical options exist, but do not always guarantee resolution of the symptoms. Followup with a urologist is recommended.

Kindest regards,

Ash K. Tewari, MD

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