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Right sided testicular pain

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Dear Doctor,

For about two years I have had mainly right sided testicular pain which comes and goes. It is more of a dull ache and feels as if it is coming from behind the right testicle, pretty much where the epididymitis is.
I am too embarrassed to seek face to face advice for this.

I am 45 years old, happily married for the past 13 years.
I have no discharge.
No painful urination.
I have no fevers associated with the pain.
It appears to me there is no lump or swelling. Both testicles seem to be of equal size.
There is no redness associated to the scrotum etc.
I don't wear tight fitting underwear or trousers.

I really don't want to go through the embarrassment of a physical exam and even more so, an ultrasound scan.

I am otherwise in good shape, correct weight for height etc. I do have a very sore back without any sciatica or other neuro defect. It is muscular pain and does cause me a lot of problems lately. I have had a CT Lumbar Spine done which demonstrated slight bulging of a disc L5/S1 but due to CT, cannot comment whether this has any impingement on the spinal nerve. To me it is all muscular strain and my main concern is the aforementioned problem.

Your help is much appreciated.

Azhar

Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
 27 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

The above mentioned testicular pain is unlikely to be because of the disc bulge. To be honest your testicular symptoms is big non specific. When I say non specific I mean that the symptoms itself do not point towards a single diagnosis. A hernia should be ruled out. In all probability the pain could be secondary to varicocele and does not need any intervention. You don't appear to have epididymitis as you don't have any other symptoms.

In my opinion you should not be embarrassed about a testicular examination. We say 100s of testes every week and we couldn't care less ! A timely examination will prevent a lot future embarrassment. I recommend a Physical examination and if needed an ultrasound.

Hope this helps
Please feel free to ask followup questions.
Thank you


Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
DNB - NBE
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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