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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Pain In Lower Right Abdomen And Testicle With Hard Spermatic Tubes Indicate Hernia?

Experiencing pain in lower righg abdomen, and pain in right testicle, both left and right spermatic tubes seem to be thick and hard, i have underwent a varicocele embolization in 2008 or 9, im 31 years old, 165lbs 6 foot tall. Can u tell me if this sou ds like a hernia or testicular torsion, they ruled all that out the first time, but soon after the procedure pain started in lowere abdomen and i have since put up with the pain, also tested sperm, and semen production, sperm was good but semen low, and a abnormal amount of morphology of sperm specimen thank u for any help u can give me.
Wed, 30 Sep 2020
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General Surgeon 's  Response
Hello,

The pain lower abdomen and testicle with hard spermatic tubes do not indicate hernia condition. There can be various issues responsible for the same such as:
- Recurrent varicocele
- Chronic inflammation of vas or epididymis
- Epididymal cyst or obstruction
- Others

However, a Doppler ultrasound examination of the both sides testicles is the final diagnostic test of choice after thorough clinical examination.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Could Pain In Lower Right Abdomen And Testicle With Hard Spermatic Tubes Indicate Hernia?

Hello, The pain lower abdomen and testicle with hard spermatic tubes do not indicate hernia condition. There can be various issues responsible for the same such as: - Recurrent varicocele - Chronic inflammation of vas or epididymis - Epididymal cyst or obstruction - Others However, a Doppler ultrasound examination of the both sides testicles is the final diagnostic test of choice after thorough clinical examination. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon