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Can a pinched nerve cause shooting pain in the testis ?

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Internal Medicine Specialist
Practicing since : 1998
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i am having pain in the left side of my gential area beside the penis.the pain continues throughout the day as a dull, aching feeling in that area .i feel the stitching pain particularly after urination when i pull back my uncircumsized penis downward towards the root to empty any urine that might have remained in the penis.it is at this point of time that i really feel that stitching pain in the left side of the genital area.the pain seems like a nerulogical pain but i am not sure.at times i also feel the pain extending downward towards my left leg.
THE PROBLEM HAS BEEN CONTNUING FOR THE PAST 3 DAYS.
TODAY I FEEL THAT THE SCROTUM IS A BIT HOT .
ALSO I FEEL THAT A NERVE IS PAINING AND IS GETTING STRECHED WHEN I STRETCH MY PENIS FORWARD AND PULL IT BACK TO EVACUATE ANY URINE THAT MIGHT HAVE REMAINED IN THE PENIS.

i am very disturbed because of the problem please help.
my details:
-age 24
-suffered from urinary tract infection 4 years ago
-i am generally unhealthy end up catching cough cold stomach problems more than often.
-i have also suffered from severe acidity constipation irritable bowel syndrome
problems 2 years ago.
-WEIGHT 85+, HEIGHT-5'9
-UNMARRIED
-non Diabetic
-THIRST IS NORMAL
-I GET ANGRY,IRRTATED EASILY
-SUFFER FROM STAGE FEAR,UNABLE TO DO PUBLIC SPEAKING

IS THIS A PROBLEM OF EPIDIDYMIS OR IS IT SOMETHING ELSE?PLEASE ADVISE URGENTLY
Posted Tue, 8 May 2012 in Testicle Problems
 
 
Answered by Dr. Jasvinder Singh 1 hour later
Hi,

Thanks for posting your query.

I can understand your concern for these symptoms but from the symptoms three possibilities are coming to my mind. These are:
1) Epididymitis which is swelling (inflammation) of the epididymis, the tube that connects the testicle with the vas deferens. The other possibility is of orchitis which can occur secondary to epididymitis.

2) The second possibility for such kind of symptoms is of prostatitis which is an inflammation of the prostate gland. Inflammation of the prostate gland (prostatitis) often will spread down the vas and into the epididymis. This may cause pain.

3) Lastly it can be due to pinched nerve because you are having radiating pain in the leg but it is less likely because any inflammation of infection of the epididymitis, testicles or prostate can cause compression of the nerve which may radiate down the leg.

You need to get an evaluation from a urologist and a few investigations done. These include complete blood count, Doppler ultrasound, testicular scan, urine analysis and culture and PSA (prostate specific antigen).

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: Can a pinched nerve cause shooting pain in the testis ? 4 hours later
I would like to know what is a pinched nerve? And how serious are the diseases you have mentioned in your reply namely Epididymitis, prostatitis and orchitis? And also doctor it would be very helpful of you if you could enlist the most basic syptoms of the above mentioned diseases.
thank you
 
 
Answered by Dr. Jasvinder Singh 5 hours later
Hello,

Thanks for writing back. A pinched nerve occurs when too much pressure is applied to a nerve by surrounding tissues. This causes pain, tingling, numbness or weakness and it may cause pain radiating down the leg.

Epididymitis, orchitis and prostatis are not serious and treatable with suitable medications. Epididymitis is inflammation of the epididymis (a curved structure at the back of the testicle in which sperm matures and is stored). It presents with gradual onset of testicular pain or pain of the epididymis and the area may turn red or swollen.

Orchitis is inflammation of testicle and may cause blood in urine, pain and visible swelling of the testicle. Prostate is a small organ present around the urethra underneath the bladder in males. Prostatitis varies in symptoms and may present with pain in testices, penis, perineum area between testicle and anus, painful or difficulty in micturition and sometimes increased frequency of micturition.

These are all treatable diseases but for exact confirmation you need to get a physical examination and investigations done from a urologist.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: Can a pinched nerve cause shooting pain in the testis ? 45 hours later
Thanks for replying to my query doctor.For the past 2 days doctor I have been studying the symptoms of the three most ilkely problems I may be suffering from which according to you were- Epididymitis, orchitis and prostatis.Doctor all most all of the symptoms which are mentioned against these diseases are not present in my case. For ex-
SYMPTOM
·     Discharge from the urethra (the opening at the end of the penis)
·     Discomfort in the lower abdomen or pelvis
·     Fever
·     Groin pain
·     Lump in the testicle
·     Pain during ejaculation
·     Pain or burning during urination
·     Painful scrotal swelling (epididymis is enlarged)
·     Tender, swollen groin area on affected side
·     Testicle pain that gets worse during a bowel movement
·      Blood in the semen
·     Blood in the urine
·     Decreased force of urinary stream
·     Difficulty urinating
·     Foul-smelling urine
·     Increased urinary frequency or urgency
·     Testicle pain
·     Blood in the semen
·     Discharge from penis
·     Fever
·     Groin pain
·     Pain with intercourse or ejaculation
·     Pain with urination (dysuria)
·     Scrotal swelling
·     Tender, swollen groin area on affected side
·     Tender, swollen, heavy feeling in the testicle
·     Testicle pain that is made worse by a bowel movement or straining
·     low-grade fever, chills
·     heavy sensation in the testicle area
Out of the above mentioned symptoms doctor not a single symptom is present directly in my case.
I feel pain in the left side of my groin area only when my penis is stretched a bit. The pain is more of like a nerve getting stretched as a consequence of which it starts paining but reduces after some time. But pain does continue as a dull aching pain throughout the day.
Apart from this symptom there are no other problems with me. There is no swelling on my testes, no redness,no pain in my testes, the affected area in groin is a bit tender but not swollen.If the area is pressed a bit harder it does start to pain but the paibn reduces in intensity after some time but continues as a dull aching pain as I have said before. I do not have any problem in urination there is no burning no pain while urinating per se. However at times I do feel some pain shooting to my testes but otherwise there is no problem.
Doctor after going through the above analysis would still maintain that I may be suffering from Epididymitis, orchitis and prostatis?
Or Would you be of the opinion that I have more chances of suffering from a pinched nerve? And if so would you be able to recommend any home remedy for the cure of such problem?
And if it neither Epididymitis, orchitis and prostates nor a case of pinched nerve could it be something else? If so what could it be? Could it be serious?
A early reply would be highly appreciated.
 
 
Answered by Dr. Jasvinder Singh 1 hour later
Hello,

Thanks for the clarification.

If you are not having any of the symptoms then chances of infections like epididymitis, orchitis and prostatitis are less but still prostate needs a physical examination to be ruled out completely. Pinched nerve can cause such shooting pain in the testes and can present with increasing intensity when the area is pressed. However it will not cause dull aching pain throughout the day.

Treatment for a pinched nerve depends on the nerve involved, the extent of injury or the severity of the condition and the cause of pinched nerve. Medication like anti-inflammatory analgesics and NSAID’s and vit B 12 supplements are often prescribed.

I suggest you to consult a urologist and get a digital examination for prostate inflammation and a NCV test (nerve conduction velocity) for pinched nerve done. You may also need an ultrasound testis and penis to confirm the diagnosis. Chances of a prostate infection or pinched nerve are there and they have to be ruled out by these tests.

Hope this answers your query.

Wishing you good health.

Regards.
Above answer was peer-reviewed by
 
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