How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • Go back-and-forth until satisfied
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Urologist
Category: Urology
Satisfied Customers: 51091
Experience:  MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
Type Your Urology Question Here...
Dr. Arun Phophalia is online now

I have a pulling pain in my testicles. Coming and going’s,

This answer was rated:

Hello. I have a pulling pain in my testicles. Coming and going’s, felling like discomfort. Sometimes in became hard without reason. I still waiting my appointment but very nervous. Before I was thinking it’s because I had treatment and took lots medication, but now more than months gone
Customer: replied 8 months ago.
No different simptoms. No pain during sex, no pain when I going to wee. Fell fine and healthy, excluding pulling discomfort in testicles.

Chronic testes/scrotal pain is usually related to noninflammatory conditions but chronic infections also should be considered. Because the testes arise embryologically in close proximity to the kidneys, pain arising in the kidneys or retroperitoneum may also be referred to the testes. So an abdominal ultrasound, intravenous pyelography and a CT scan of the abdomen also should be done to evaluate testicular pain.

A urine and sperm culture for pyogenic organisms and mycobacterium should be done. This should be able to point towards the chronic infection and give the guidelines for further management.

Following other causes to be considered for the pain are;

1) Recurrent torsion

2) Torsion or inflammation of the appendix of the testes

3) Infectious epididymitis

4) Noninfectious epididymitis; occur due to reflux of urine through the ejaculatory ducts and vas into the epididymis, producing a "chemical" inflammation

5) Referred pain - the genitofemoral, ilioinguinal, or posterior scrotal nerves CAN CAUSE REFERRED PAIN. Other causes of referred pain are abdominal aortic aneurysm, ureteric stone, lower lumbar or sacral nerve root impingement, retrocecal appendicitis, retroperitoneal tumor, and postherniorrhaphy pain.

Was this helpful to you?

Wishing you a speedy resolution and all the very best in life.

" I sincerely hope that I have helped you and that I have earned my 5-star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Stay blessed.

Customer: replied 8 months ago.
Is this can be a cancer?

This is not cancer.

Please do not worry.

A positive rating would be highly appreciated for my time.

You are not charged extra for providing a positive rating.

Just Answer is based on the honor system. Experts are paid for time and expertise only when a positive rating is received.

Wishing you all the very best in life.

Sending good, healthy vibes your way.

Stay blessed.

Customer: replied 8 months ago.
Thank you

Very welcome.

Dr. Arun Phophalia and other Urology Specialists are ready to help you