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What causes painful urination, muscle pain in lower abdomen and testicles post intercourse?

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Posted on Tue, 10 May 2016
Question: I'm 26 male. I've been very active on unprotected sex and from last 5 days I'm having burning sensative while urinating.. it did get a bit better but I'm feeling like testicular muscle pull. like a muscle pain in lower abdomen, both sides like when someone hits on your testicles and you feel the pain. i got complete urine test and waiting for culture test of urine which I'll get in 2 days.

kindly help me find my illness.
doctor
Answered by Dr. T Chandrakant (41 minutes later)
Brief Answer:
Clinical examination and investigations as suggested

Detailed Answer:
Hi
Thanks for your query and an elucidate history.
To recapitulate: Male/26 - very active on unprotected sex - burning while urinating 5 days - testicular muscle pull - muscle pain in lower abdomen - both sides - like someone hits testicles -

The Urine reports looks fine and the pain which you explained looks to be muscular.
The muscle of the abdomen might have gone into spasm, soreness or sprain due to excessive sexual activity. The muscle suspending the testicles, called cremaster muscles is an extension of these lower part of the abdominal muscles, hence gone into spasm and causing the partial testicular rotation causing severe pain.
Another reason can be epididymo-orchitis.

This can be confirmed by the following:
Clinical evaluation and examination.
Ultrasonography and color doppler examination of the scrotum and the abdomen. This helps a lot to have a proper diagnosis. Get this done ASAP.
Till then take bed-rest.
Apply warm compresses over the lower abdominal muscles.
Take an anti-inflammatory medication like Ibuprofen to ease the swelling, inflammation and thus the pain.
Scrotal support if the testicles are hanging.
Plenty of oral fluids to keep urine tract flushed.
Antibiotic cover as per the reports of culture and sensitivity if it comes positive.

I hope this answer helps you, please feel free to give feedback, ask further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (39 minutes later)
yes that sounds understandable. whenever i press testicle slightly the same pain in abdomen enhances. I'm sure it's cremaster muscles. i can get ultrasonography and suggest me should i visit a urinologist? ibrufen certainly assist i took it yesterday. yes testicles are hanging and giving me more psychological uneasiness. I'll also update you on the culture test of urine once i get the report.
doctor
Answered by Dr. T Chandrakant (16 minutes later)
Brief Answer:
Reports and feedback awaited

Detailed Answer:
Thanks for your feedback.
Pain in abdomen on pressing testicles can be a referred pain.
Seeing Urologist is always the best option.
Waiting for your reports.
The burning urination could have been due to excessive rub on urethra or actual infection. This is called urethritis. Will settle with time.
Please take Ibuprofen three times a day after food.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. T Chandrakant (11 minutes later)
Brief Answer:
Sure.

Detailed Answer:
Sure, I shall be happy to assist you further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (1 minute later)
thank you doctor for your help. will get back to you with reports soon.
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19251 Questions

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What causes painful urination, muscle pain in lower abdomen and testicles post intercourse?

Brief Answer: Clinical examination and investigations as suggested Detailed Answer: Hi Thanks for your query and an elucidate history. To recapitulate: Male/26 - very active on unprotected sex - burning while urinating 5 days - testicular muscle pull - muscle pain in lower abdomen - both sides - like someone hits testicles - The Urine reports looks fine and the pain which you explained looks to be muscular. The muscle of the abdomen might have gone into spasm, soreness or sprain due to excessive sexual activity. The muscle suspending the testicles, called cremaster muscles is an extension of these lower part of the abdominal muscles, hence gone into spasm and causing the partial testicular rotation causing severe pain. Another reason can be epididymo-orchitis. This can be confirmed by the following: Clinical evaluation and examination. Ultrasonography and color doppler examination of the scrotum and the abdomen. This helps a lot to have a proper diagnosis. Get this done ASAP. Till then take bed-rest. Apply warm compresses over the lower abdominal muscles. Take an anti-inflammatory medication like Ibuprofen to ease the swelling, inflammation and thus the pain. Scrotal support if the testicles are hanging. Plenty of oral fluids to keep urine tract flushed. Antibiotic cover as per the reports of culture and sensitivity if it comes positive. I hope this answer helps you, please feel free to give feedback, ask further relevant queries if you feel that there is a gap of communication.