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One day couple of weeks ago felt heavy feeling in my scrotum to the point where i couldn't sit at my desk or sit.  Pain has continued and by the next night sharp pain started shooting down my left leg.   Pain then started on both sides of groin and mainly below scrotum.   Left testicle had pain and the cord going up was swollen.  Went to the doctor he said have a hydrocele and an epididymal cyst.   First time experiencing this at 37.  Any thoughts?  What is the best medication for this and how long usually does this condition last?
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Avatar universal
by the way, thank you

He did do a urinalysis and found trace amounts of blood in it and that was all.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
First answering the follow-up question (below):  I see no possible connection between these symptoms and an emotional talk.

The only possible STD connection with symptoms like yours is epididymitis, a testicular infection.  It would be good to discuss this with the doctor who examined you; the symptoms and findings on exam could be similar to those of an epididymal cyst and hydrocele.  (I don't think I could tell the difference, although a urologist might be able to do so.)  Among younger men (typically under age 35), the main causes of epididymitis are chlamydia and gonorrhea (mostly chlamydia). In men over 35, the main causes are the same bacteria that cause non-sexually transmitted urinary tract infections, i.e. things like E. coli, Enterococcus, and others.  If an STD is the cause, you might have discharge of pus or mucus from the penis.

Your age is close enough to the usual cut-off that you definitely should be tested for all those possibilities.  Of course, if you haven't had a new sex partner recently, or your regular partner isn't have sex with others, chlamydia and gonorrhea are not likely.

If your doctor didn't do a urinalysis, urine culture for bacteria, and STD testing, you might question him about it.  But if he is confident in his diagnosis of cyst and hydrocele, you probably can trust his judgment.

Not knowing what you have, I will not recommend any particular treatment. Just follow your doctor's advice.

Best wishes--  HHH, MD
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Avatar universal
Two nights before this started my girlfriend who we haven't had any kind of sexual activity yet got very emotional about her life and the recent death of her father.  It was a pretty emotional talk, wondering if anything related to this could have started this down there.  Previous girl was dating left and got a real bad case of blue balls.  Blue balls is a real condition.  But this is different.  Just wanted to mention it and see if anything like that can trigger that?????
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