Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have-Spermatocele / and or Varicocele.As you get more pains while standing and the pain reduces on lying down,Varicocele is the possibility in your case. I would suggest physical examination from surgeon / or Urologist and confirmation with USG right Testes and Color Dopler for the Varicocele. Also the increase in pain at that site-goes in favour of Right Epidydimal Varicocele . Other causes like -Inguinal hernia/Epididymal Cyst or Spermatocele/ Hydrocele/ sub-acute-Epididymitis on right side-needs to be verified and ruled out. Remedy -Consult Surgeon / Urologist and assess the Cystic painful Swelling with above angles. Tab Comibflam-1 x 2 times a day x 10 days Tab-Chymoral forte 1 x 2-3 time / day x 10 days Tab Ciplox Oz- 1 x 2 time / day x 10 days If swelling reduces- possibility of Spermatocele / or Epididymal Cyst is more. Such cysts occur due to Epididymitis causing blocked vas efferrentia and Cysts with sperm in it.As the infection and swelling reduces, the cyst would regresss and sometimes resolve even. USG and Color dopler of right Testes to fix the exact cause in your case. Other causes of painful erection post-perineal injury needs to be ruled out. For this to verify Second opinion from Urologist/ Surgeon - would be needed. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS