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What Causes Testicular Pain With Pain In Lower Abdomen After Urination?

Posted on Tue, 24 Nov 2015

Question: Hi

I have recently been getting pains in my right testicle. I have received a few kicks to the testicles a few years ago, but not a major injury.
I have noticed that my scrotum skin has become red and I get pain in my lower abdomen after urination.
I was born with problems with my kidneys and had an operation to correct bilateral reflux when I was 6 years old. I currently have right sided renal scarring.
Could this possible be linked and should I see my GP. What would he do to examine me and what kind of tests would I need?
Thanks

Answered by Dr. Dr. Muhammad Sareer Khalil (17 minutes later)

Brief Answer:
Examination and workup

Detailed Answer:
Hello and Welcome

I appreciate your concern

Pain in lower abdomen after urination and painful right testicle both indicate a genitourinary cause. In addition, history of surgical procedure for the reflux correction warrants that investigations be done to rule out any complications.

Based on your presenting complaint, your GP would first do a general physical examination looking for general signs of concern like anemia, jaundice, any edema, fever. Then he would specifically examine your abdomen and testicles after your permission.

Urinalysis, Urine culture sensitivity testing, ultrasound abdomen and pelvis and scrotal ultrasound should be advised. Blood counts, ESR , electrolytes and renal function tests should also be done as part of the workup.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (31 minutes later)

Hello

1. Do you have any idea what kin of genitourinary disease is likely to be causing my symptoms.

2. What will happen to me during an abdominal and scrotal ultrasound?

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

1. It can be a urinary tract infection, epidydmitis, orchitis. A course of antibiotics and NSAIDs can be advised accordingly for treatment.

2. Both abdominal and scrotal ultrasound are extremely safe procedures. They are not invasive. The radiologist applies gel on the area to be examined and puts the ultrasonic probe on the area to look for any abnormality. You will feel no pain during this investigation.

Thanks.

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (19 hours later)

Hello

I visited my doctor today regarding my problem and he examined it and found a cyst in my epididymus. He said they are quite common.
He has also sent me for an ultrasound scan to investigate the pain.
could the cyst possibly be a cause of the pain
thanks

XXXX

Answered by Dr. Dr. Muhammad Sareer Khalil (11 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Normally, epididymal cyst or spermatocele is painless. However, painful symptoms can occur. Your doctor should have checked for transillumination test which is negative in solid masses and positive in fluid filled cysts. The confirmation is ideally done via the ultrasound. Its a common and benign issue that is not related to malignancy or decreased fertility.

Let me know if you have any query

Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (10 hours later)

1.what will happen if the pain is caused by the cyst? Will this be shown on the ultrasound.

2.what would happen if it is not caused by the cyst? What other problems could it be? Would I need further tests and how would they be treated?

3. Ho are cysts treated?

Answered by Dr. Dr. Muhammad Sareer Khalil (6 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

If the cyst is determined to be the cause of the pain then surgical removal can be an option. You will require a urologist to assess you for that. Ultrasound is an imaging investigation, it does not correlate the cause of the pain. That has to be done clinically.

As I mentioned before, an infection of the genitourinary tract is a likely cause especially with history of surgery along the same area.

Spermatocelectomy or Sclerotherapy can be offered for symptomatic cysts as treatment.

Wishing you best of health

Thanks

Let me know if you have any query

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (15 minutes later)

what would a urologist do to find the cause of the pain??

Answered by Dr. Dr. Muhammad Sareer Khalil (21 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello.

A urologist would first examine you. Based on his clinical judgment and in light of the investigations ( urine test, blood counts, ultrasounds), he will make the diagnosis and may advise surgical removal of the cyst if present. He may advise antibiotics and NSAIDs for 2 weeks to see for empiric improvement. If the discomfort persists then surgical option can be resorted to.

Thanks.

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Thank you for all your help!

XXXX

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Most welcome

Detailed Answer:
Hello again.

You are most welcome.

You may follow up with me on the reports and what your doctor discussed with you. I will be more than glad to guide you along the way. You may keep in touch.

Thanks.

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (46 minutes later)

Hello Dr XXXXXXX

Thank you for offering your support during the process. I will certainly be keeping in touch with you.
I will be having my scan in 3/4 weeks time, and I am still a little worried about the procedure. I am also worried about getting an erection or ejaculating during the scan. Also, will it be done by a male tech?
Would you be able to send me your contact details or if not, could you tell me the best way to contact you?

Thank you

XXXX

Answered by Dr. Dr. Muhammad Sareer Khalil (13 minutes later)

Brief Answer:
Most welcome

Detailed Answer:
Hello XXXX.

The scan will be done by a doctor i.e a radiologist. It can be a male or a female. If at any point you feel discomfort , you may let your doctor know about it. But as far as the scan goes there should be no discomfort at all. You seem to be anxious about the scan. You should relax as its not an invasive investigation. Try to take deep and slow breaths while closing your eyes prior to the appointment to relax yourself. The manipulation or handling involved in this scan will not lead to erection or ejaculation. Your doctor will take you in to confidence and make you comfortable regarding the procedure.

For future follow up / correspondence you may ask me directly at the link given below.

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Let me know if you have any query.

Thanks.

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (35 minutes later)

Hi
would you like me to send my scan results and my GPs decision on what to do next??

Thanks

Answered by Dr. Dr. Muhammad Sareer Khalil (34 minutes later)

Brief Answer:
Explained

Detailed Answer:
You may send the reports and share your experience.

I will be more than glad to help you in interpreting the reports and counselling regarding future options.

Thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

Thank you again for all your support!!

Answered by Dr. Dr. Muhammad Sareer Khalil (15 minutes later)

Brief Answer:
Most welcome

Detailed Answer:
You are most welcome , XXXX

I am here for you whenever you require any assistance.

Have a great day.

Thanks.

Note: For further follow up on related General & Family Physician Click here.

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