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What Causes Pain In Testicle?

Posted on Tue, 25 Nov 2014

Question: Hi I am 27 years of age. I am suffering from mild pain in my left testicle for past 2.5 years. I had ultrasound done the scrotom was perfect no kidney stones no torsion nothing everything came out to be perfect . The doctor said it will go away on it's own. Well the pain did not go away I went to a urologist he checked my left testicle he pressed a nerve on my left testicle it pained and the pain radiated to lower left abdomen. He said you must have had an infection it will go away and suggested to wear supporters. I freaked out in the name of infection I checked my self for HIV hepatitis all clear. I never had unprotected sex . No problem in erection until past one month since I am freaking out these days I am not getting aroused. All I can think of is pain and weather I will be able to have an erection. I did research on google and found that the pain can go through antibiotics but not sure. I am going to a different urologist today. Kindly help

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Mostly due to Varicocele.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have pain in left testicle since 2 years .

This could be due to mild infection of Epididymis or Mild Varicocele which is always secondary to UTI..

Please get your routine urine test and urine culture done to find out any the organisms causing this infection and antibiotics to which they are sensitive to.

Considering the long duration of your symptoms get following basic test done to rule out Varicocele.
1) Colour Doppler study of scrotum to rule out Varicocele.

Please take Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin and anti inflammatory drug like Diclofenac twice daily.with urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Ensure to drink more water.To keep your urine dilute This will help to control dysuria.

Further treatment will be advised by Urologist whom you are likely to consult in a day or two.

Hope I have answered your query. Please feel free to write if you have more questions I shall be happy to help you .
Thanks and Regards .
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (12 minutes later)

Hi, thanks for ur reply. I did have color doppler done. I am visiting a urologist today. Anyspecific question i should ask him because last time i visited the doctir said it will subside. Also in how many days the pain will subside when i start taking antibiotics. Plus this will not lead to erectile dysfunction right.

Answered by Dr. Dr. P. T. Patil (2 minutes later)

Brief Answer:
It will not lead ro ED.

Detailed Answer:
Hello
Thanks for follow up.
You have not posted findings of Colour Doppler Study.
Varicocele never leads to ED .It is anxiety that causes ED .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (30 hours later)

Hi Unfortunately . I could not meet the urologist appointment got cancelled. Could you please exaclty guide me on what medicines should i take (Name,dosage) etc. i am residing in XXXXXXX Hopefully i will meet the urologist next week. Also in how many days the pain should subside. I am not algeric to anything also. Kindly prescribe so that i can go and buy these medicines

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Take following medicines.

Detailed Answer:
Hello
Thanks for follow up.You have not posted Colour Doppler Study report .

Take Diclofenac and Ciprofloxacin twice daily .It sould get cured within two weeks.

Use scrotal support .

Thanks and Regards.
Dr.Patil

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar