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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Urologist
Category: Urology
Satisfied Customers: 45813
Experience:  MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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I have a pulling pain in my testicles. Coming and going’s,

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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 13 days 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.

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Customer: replied 13 days ago.
Is this can be a cancer?

This is not cancer.

Please do not worry.

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Customer: replied 13 days ago.
Thank you

Very welcome.

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