What could cause dull pain in the right testicle along with dysuria and cysts in the left testicle?

Question

Hello doctor,

I have been experiencing dull on-and-off pain in my right testicle and rarely dysuria for a month. I also experienced severe rectum pain for one day only but that has cleared now. I have undergone STD tests, a prostate exam, urine flow, and a urine culture test thrice which were all fine. I also underwent a scrotal ultrasound which was fine but the doctor noted I had small simple cysts within the left testicle and a small varicocele on the left side. I was first given Nitrofurantoin for seven days, Ofloxacin for five days, and Doxycycline for 10 days but my symptoms are only slightly improved. Given the number of tests, medications, and the lack of a clear diagnosis, my anxiety and stress levels have increased. What could this be? Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern and since all exams and reports are normal, this could be due to the inflammation of the prostate or irritation of some nerves which supply the testis area. I suggest you to consult your specialist doctor, discuss with him or her and take the medicines with their consent - Tablet Ofloxacin (Ofloxacin) 400 mg once daily for 15 days, and if available, tablet Amitriptyline (Amitriptyline hydrochloride) 10 mg once daily for 15 days which will soothe the nerves. Avoid unprotected intercourse for now and let me know the response to these medicines. I hope your queries are resolved and any further queries are welcome.

Answer 2

Hello,

Welcome back to icliniq.com.

Yes, even if all the examinations and reports are normal, it can be prostatitis, usually a urologist can tell from a rectal exam and from the symptoms, and issues on the left side of the scrotum do not cause right-sided pain.