Brief Answer: It's because of normal cremasteric reflex Detailed Answer: Namaste Welcome to Healthcare-Magic Greetings of the day Dear Mr XXXXXXX It's quite common for many of the normal individuals to experience sense of fullness in testis because of stasis and congestion when they don't masturbate. It's perfectly normal. Testis is placed outside the body cavity in a sac known as scrotum to maintain it at lower temperature than the body temperature which helps in spermatogenesis. The scrotum is thrown into folds which increases the surface area to increase the heat dissipation. When the outside temperature is lower as being in water during swimming, the cremasteric muscle of scrotum contracts, it decreases surface area of scrotum decreasing the heat loss and also lifts the testis upwards towards the abdomen.The left and right reflex may not be symmetric so sometimes the right testis may be higher up. This explains your symptoms which are perfectly normal reflexes present. As you are having bilateral pain in testis it's important to rule out anatomical abnormality of the testis, as testis are important organs in males. Would suggest you to see your surgeon, physical examination and ultrasound of scrotum will provide you the much needed reassurance that there is no problem. In the meantime I would suggest you 1. Proper scrotal support - wearing the right size of underwear which is neither too tight nor loose will properly support the testis and help in relieving pain 2. Simple analgesic like Ibuprofen will be beneficial I hope it helped If you need any further assistance will be glad to assist you. Wishing you happy and healthy life Take care Best Regards Dr Deepak XXXXXXX MBBS,MS,MCH Consultant Surgeon

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Brief Answer: possibly due to improper size of inner wear Detailed Answer: Namaste Dear Mr XXXXXXX If you have undergone Ultrasound along with Doppler examination at the time of pain and also Undergone Urine Microscopic examination and they are reported to be normal it's unlikely to be Epididymorchitis. Sometimes the physician do put the patient empirically on Antibiotic on clinical suspicion. It's perfectly alright. If the scan is not done at time of you experiencing symptoms, and presently you are having pain then would suggest you following 1. Ultrasound and Color Doppler examination- to confirm normal lie,location, size and vascularity of testis. Normal scan will almost certainly rule out any significant abnormality 2. Urine microscopic examination If the above report are normal then it's highly unlikely that there is any problem. Your symptoms could be due to Hyper active Cremasteric reflex and wearing inappropriate size of underwear. Would suggest you to relax and lie down for sometime after sexual act. Sudden exertion and immediately getting up may provoke the symptoms. I hope it helped Do get back to me if you need any further assistance will be glad to assist you Take care Regards Dr Deepak XXXXXXX Consultant Surgeon

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Brief Answer: Hydrocele will resolve Detailed Answer: Namaste Greetings Dear Mr XXXXXXX Ultrasound scrotum shows mild Hydrocele on the right side which could have to previous Epididymorchitis and on clinical examination there is gross obvious swelling then there is no need of any surgical intervention, the fluid will get absorbed over period of time. Your color Doppler reveals mildly prominent pampiniform plexus on both sides, which is not sufficient to label it as Varicocele. There is variation from person to person in size of blood vessel. Also in presence of Normal semen analysis and no discrepancy between size of both testis,it does not have any significance. Rest be assured everything is alright. I would suggest you to wear a proper size cotton underwear, which Will support the scrotum and veins in better way and will help reducing the symptoms. I usually keep my patients on yearly follow-up and just ask them to forget all the reports and lead a normal life. I hope it helped Wishing you a happy and successful life. Take care Best Regards Dr Deepak Kishore MBBS,MS,MCh Consultant Surgeon

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