Why is testicle swollen and uncomfortably moving after torsion surgery?

Question

Hello doctor,

About four weeks ago, my right testicle started moving in an uncomfortable (not painful) way. I had a torsion and surgery to stitch down (both) 2.5 years ago. I went to the first doctor and he tried me on muscle relaxants, nothing changed so he referred me to a specialist. The specialist had a quick feel and then told me it was normal, that I should not worry and that I would have to get used to it. He also implied it has been happening since the operation and I just did not notice. There is still no pain, only discomfort (it varies) normally when I walk. I think that my right testicle is a tiny bit swollen and slightly squishier than my left and while I could live with this, I really do not want to. Though I have suffered no injuries to my testicles recently, I actually think that one of my stitches has come loose as I can feel the end on the stitch lump where I could not before. I am 194 pounds and have lost 26 pounds over the last nine months. I have have been running more frequently for about eight weeks. I am 24 years old.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query. From your symptoms, it could possibly be that you have a case of a repeat of your torsion which is usually not common after surgery or a case of testicular pain syndrome which can happen after surgery. Normally, a detailed clinical exam to identify any other causes like a hernia or varicocele or hydrocele post surgery is necessary. As you have mentioned that a clinical examination has been done and was found to be normal, I would suggest that you have a doppler scan to confirm that it is not a case of torsion or any other vascular problem like varicocele which is causing the pain. If the scan is normal, then you will have to wait and watch and have a good scrotal support in case of chronic orchialgia or testicular pain syndrome.