Dull tight pain in my testicles and scrotum is interrupting my normal and sexual life. Please help.

Hi,

Welcome to icliniq.com.

Your history and clinical symptoms are suggestive of epididymo-orchitis of both testes. You told that you have undergone a number of investigations. It would have been convenient for me if you had uploaded the same. Anyway, you need a clinical examination too. So you need to visit the office of your local urologist for management of the same. Another possibility is nerve entrapment syndrome as you have undergone groin hernia surgery on the left side. But the possibility is less as you have bilateral symptoms and you had undergone surgery on the left side. But you have to wear tight inner garments as that is the prerequisite for the treatment of epididymo-orchitis.

Hello,

Welcome back to icliniq.com.

I have gone through your queries. It will have been convenient for me if you have uploaded the USG report. The photographs are difficult to interpret as these lack continuation and are merely static images, not real-time photographs. But it looks like the vascularity of your testis and cord on both sides is well maintained. However, your symptoms are suggestive of epididymal-orchitis. You have to wear tight underwear or a suspensory scrotal bandage. I suggest you to follow a few things mentioned below. Take the tablet Paracetamol 650 mg three times daily or SOS for pain relief. Check urine. Get one uroflowmetry done to exclude any voiding dysfunction. Get one USG KUBP and PVR to look for prostate and post-void residual. If urine CS does not reveal growth, you may need to send expressed prostatic secretions (EPS) for culture and sensitivity. For all these things, you need one visit your local urologist. He will examine you clinically and judge your clinical condition.

I hope this has helped you. Thank you.