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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Testicular Pain, Normal Urine Tests, Suspicion Of Cysts On Scrotal Ultrasound. What Could Be The Cause?

Hi, I have pain in my left testicle since sep-2011, since then i have consulted 5 different doctors/specialists but still no relief. I have done ultrasound of my scrotum twice, both times the doctor said its infection or cysts , but they are not sure, Urine tests are also norma, there is no problem in ejaculation, no blood in urine , but i still feel pain and dull ache in the back side of my left testicle. Please suggest what it could be?
Sat, 31 May 2014
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Urologist,  's  Response
Chronic scrotal pain is often a frustrating symptom complex both for the patient and the treating doctor, and my sincere suggestion as of now is to try and focus thoughts away from your discomfort unless it is very severe. Many patients keep shifting from doctor to doctor with little or no improvement. You can try taking medication like Pregabalin, Tramadol and acetaminophen combination for pain, and wear a scrotal support. It is unlikely that the pain is due to the cysts which are present in many men with no issues.
If the pain is really troubling you and reducing the quality of life, you can approach a urologist for a trial of cord block, and see if symptoms get better. If they do, you will be a candidate for micro-denervation of scrotal nerves with good relief in a significant percentage of patients.
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Testicular Pain, Normal Urine Tests, Suspicion Of Cysts On Scrotal Ultrasound. What Could Be The Cause?

Chronic scrotal pain is often a frustrating symptom complex both for the patient and the treating doctor, and my sincere suggestion as of now is to try and focus thoughts away from your discomfort unless it is very severe. Many patients keep shifting from doctor to doctor with little or no improvement. You can try taking medication like Pregabalin, Tramadol and acetaminophen combination for pain, and wear a scrotal support. It is unlikely that the pain is due to the cysts which are present in many men with no issues. If the pain is really troubling you and reducing the quality of life, you can approach a urologist for a trial of cord block, and see if symptoms get better. If they do, you will be a candidate for micro-denervation of scrotal nerves with good relief in a significant percentage of patients.