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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling Of Testicles, Inner Thighs And Pain In Groin Area?

Hi I m 22, and in mid Feb. I had a bout with prostatitis, and then a UTI not long after. It s been a month since I got urine tested after my antibiotic course and everything came back clean (no bacteria, even after digital exam). Sometime during these events I felt a on odd sensation like a dropping feeling in my Perenial area and ever since had swelling around my testicles (inner thigh, between my leg and testicles and in the perinial area). the swelling can last for days and sometimes goes away (sometimes in a matter of minutes). I have pain in my groins and the line where my hip meets my legs when I have the swelling. hot bath or heating pad can make the swelling go down. When there is no swelling, I have a tingle in my perineum and heating pad or bath seems to settle that sensation, but not for long. The tingle is never present during swelling. Usually when I lie on my back I will have neither tingle or swelling. I had an ultrasound done and the radiologist said I had two inguinal hernias, but at my Surgeon appt. He said no and sent me to the urologist. Uro has me on a 2 month course of more antibiotics for prostatitis but he wasn t sure about diagnosis. The antibiotics aren t really doing anything. What could it be? Hernias or prostatitis?
Wed, 3 May 2023
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General & Family Physician 's  Response
Hi,

It is possible that the swelling and pain in the groin area, inner thighs, and testicles could be related to either hernias or prostatitis. Inguinal hernias are a common type of hernia that occurs when tissue bulges through a weak spot in the abdominal wall, often causing swelling and pain in the groin area. Prostatitis is an inflammation of the prostate gland that can cause pain in the groin area, lower back, or perineum, as well as urinary symptoms.

The fact that you had a bout of prostatitis and a UTI suggests that the symptoms may be related to the prostate. It is possible that the dropping sensation you felt could have been related to the development of an inguinal hernia, but it is also possible that the radiologist was mistaken in their diagnosis. It is important to follow up with your urologist and discuss your symptoms and concerns.

In addition to antibiotics, other treatments for prostatitis may include anti-inflammatory medications, muscle relaxants, and physical therapy. If a hernia is suspected, your doctor may recommend imaging tests or refer you to a surgeon for further evaluation.

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

Regards,
Dr. Priyanka, General & Family Physician
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What Causes Swelling Of Testicles, Inner Thighs And Pain In Groin Area?

Hi, It is possible that the swelling and pain in the groin area, inner thighs, and testicles could be related to either hernias or prostatitis. Inguinal hernias are a common type of hernia that occurs when tissue bulges through a weak spot in the abdominal wall, often causing swelling and pain in the groin area. Prostatitis is an inflammation of the prostate gland that can cause pain in the groin area, lower back, or perineum, as well as urinary symptoms. The fact that you had a bout of prostatitis and a UTI suggests that the symptoms may be related to the prostate. It is possible that the dropping sensation you felt could have been related to the development of an inguinal hernia, but it is also possible that the radiologist was mistaken in their diagnosis. It is important to follow up with your urologist and discuss your symptoms and concerns. In addition to antibiotics, other treatments for prostatitis may include anti-inflammatory medications, muscle relaxants, and physical therapy. If a hernia is suspected, your doctor may recommend imaging tests or refer you to a surgeon for further evaluation. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician