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What Causes Pain In Right Testicle?

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Posted on Fri, 25 Jul 2014
Question: Hello Sir.
3 days back on Tuesday afternoon, I suddenly started getting pain in my right testicle. I rushed for hospital immediately for medical assistance. Doctor advised for ultra sound for abdomen & testicles and urine test. Ultrasound test came out clear & urine test is clear too. However, I was still feeling little pain in testicles that time, and seeing the condition doctor prescribed me antibiotics 'levoflox - 500' for 5 days.

Yesterday on Thurs I took my first course of medicine, and my testicle pain is almost gone now. However, I'm seeing little fluid discharge from my penis, and feeling little pain below both testicles. I just wanted to confirm that if these systems are normal, and will go away with the medication prescribed by my doctor, or should I consult my doctor again?

Per ultrasound my testicles & prostate are OK (attaching reports), but please advice why I'm feeling little pain below two testicles (not in testicles) & getting fluid discharge from my penis. Will this symptom go away with 'levoflox - 500'?

I'm not married, and never had sex with any partner. So, I assume it shouldn't be any STD.

As of now testicle pain is almost gone, however, just feeling little pain below two testicles & getting fluid discharge.

Thanks,
XXXXXXX


I


doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Could be due to inflammation of Spermatic Cord

Detailed Answer:
Hello
Thanks for your query,based on the facts and reports that you have posted it appears that you had pain below the Rt.Testicles 3 days back and had undergone tests which are reported to be normal and prescribed antibiotic and pain killer for five days.

In view of all the necessary test being normal your mild pain on lower side of testicles could be due to mild inflammation of Spermatic cord (Funiculitis) and it is bound to get cured with the antibiotic and anti inflammatory medication like Diclofenac.

Passing clear fluid per urethra is a part and parcel of this inflammatory process and nothing to be worried about.It will get resolved within a week.

Please ensure to drink more water .

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

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. P. T. Patil (4 hours later)
Hello Sir,

Thanks for answering my question, and I do have few more questions where I need your help.

Just to make sure I understand the pain correctly which I started to get since last evening, I would like to express that pain again.

That pain is not at all coming from testicles. My testicle pain is almost completely gone yesterday itself, however, this new pain is coming just below the 2 testicles & above the anus. We can say that it's a point between below two testicles & anus. I feel like something swelling at that point. Is it a inflammation of Spermatic cord (Funiculitis) which you mentioned in your post or something else?

Another thing I noticed since the start of that pain that I started to see urine discharge on its own which is difficult to control, and starting from 3:00 AM today I'm urinating after every 15mins. Not sure what happened, but after every 15mins I feel like my bladder is full, and I've to go to toilet quickly. Is this happening due to that pain or it something infection in the bladder?

I would like to bring out the serious of events that started to happen from 3 days back which will give you more in-depth of the situation.

1. On Tuesday afternoon 3:00 PM I started to get pain in right testicle.

2. On Tuesday ultrasound report & urine report came out clear, and I've given pain killer for a temporary relief to the testicles.

3. On Wednesday I started to feel relief in right testicle, and there was not much pain at that time.

4. On Thursday I visited doctor again, and told my situation. He said right testicle pain could happen due to muscle stretch, and gave me 'levoflox - 500mg' for 5 days.

5. I took one dose of 'levoflox - 500mg' on the same day Thursday, and in the evening I started to feel pain at the point between below two testicles & anus.

6. In the night I started to feel like I've a urine discharge on its own which is difficult to stop.

7. Exactly @ 3:00 AM next day Friday I started to feel like I've to go for urination every 15mins, bladder is filling very quick, and it's quite discomfort to control the frequency of urination. Passing of urination is normal, but after passing urination I feel little numbness in my penis with miner burning sensation.

This is the overall report of the events happened until now. Please advise your thoughts on this.

My main concerns.

1. Pain at the point between below two testicles & anus.

2. Urine discharge.

3. Frequent urination after every 15 mins with penis numbness, and miner burning sensation.

Would greatly appreciate your immediate response.

Thanks,
XXXXXXX
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Likely to be due to Prostatitis.

Detailed Answer:
Hello
Thanks for follow up.
The symptoms that you are getting are now due to Acute Prostatitis.

Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Swab test of Urethral discharge .
2) Semen examination and semen culture .
3) Trans Rectal Ultrasound scanning (TRUS).

You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Later on switch on to appropriate antibiotic as per culture report.
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (5 hours later)
Hello Sir,

Today I met with my doctor, told my condition. He prescribed me levoday 500mg antibiotics and combiflame for pain. This prescription is for 1 week at least.

Since morning I don't feel like going toilet for urinate in 15mins, however, I do have little urine discharge and feeling tenderness or swollen with acute pain near prostate area. Maybe it's due to bacterial infection, and hopefully will go away by antibiotics

could you please give your thoughts on the medication prescribed by my doctor, and what is the success rate of getting complete cure from that medication?

Just one more gentle request do you know any good urologist in XXXXXXX whom I can contact for another round of 1:1 consulatation.

Once again thanks for your all assistance.
XXXXXXX
doctor
Answered by Dr. Dr. P. T. Patil (3 hours later)
Brief Answer:
Continue taking medicines prescribed by your Dr.b

Detailed Answer:
Hello
Thanks for follow up.Continue taking antibiotic and anti inflammatory medicine prescribed by your Dr.

You can consult Urologist in your area .Your problem is not serious at all and wil get cured with medication.
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (21 hours later)
Hello - today morning I realized that that pain which had below two testicles (acute prostate) is gone, I do not have pain anymore now. However, I still have urine leakage, and bladder is getting full in every 1 hr after drinking water. I hope urinary problem will also get resolved by Levoday antibiotics.

Could you please give an idea about how much time it will take for levoday to cure my urinary problem completely. I do have 4 more days of course to complete.

My doctor also asked me to go for UDS test. Just wanted to confirm if this test is really necessary, or I should just wait for 4 more days to complete levoday course?

What is UDS test? Is this painful process? Why we carry out UDS test? Is UDS test necessary when Levoday course is already going on?

Thanks,
XXXXXXX
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
You can wait for one more week.

Detailed Answer:
Hello
Thanks for follow up.Since you are getting proper response with antibiotic you can certainly wait for ne more week before you plan for UDS study,

Urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests is generally advised when patient has following symptoms which do not get resolved completely with medicines.

1) Leakage of urine (Incontinence)
2) frequent urination
3) Urgency for urination.

The test is not painful.

Please continue taking Livofloxacin for one more week before taking decision about UDS study.This study is done under supervision of qualified Urologist for proper assessment.
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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What Causes Pain In Right Testicle?

Brief Answer: Could be due to inflammation of Spermatic Cord Detailed Answer: Hello Thanks for your query,based on the facts and reports that you have posted it appears that you had pain below the Rt.Testicles 3 days back and had undergone tests which are reported to be normal and prescribed antibiotic and pain killer for five days. In view of all the necessary test being normal your mild pain on lower side of testicles could be due to mild inflammation of Spermatic cord (Funiculitis) and it is bound to get cured with the antibiotic and anti inflammatory medication like Diclofenac. Passing clear fluid per urethra is a part and parcel of this inflammatory process and nothing to be worried about.It will get resolved within a week. Please ensure to drink more water . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.