Get E-Book on COVID-19

Q. I have mild sensitivity and pain in the left testicle with grade 1 seminoma in the right. Please help.

Answered by
Dr. Samer S J Altawil
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Dec 20, 2020

Hi doctor,

I am a 44-year-old male. Last month, I was diagnosed with stage 1 seminoma in the right testicle and had Rio surgery four weeks ago today. I am beginning adjuvant treatment in the next few weeks. Last week, I experienced symptoms on the left side, and I am curious about what it may be. It can only be described as a mild sensitivity in the testicle and scrotum with occasional jarring ache and can radiate to the flank, hip, and sometimes down hamstring. I experienced this in the past about a year before seminoma diagnosis on the right side, and it lasted about four to six weeks before subsiding. In the discovery of seminoma, all imaging (US and CT, all done in the last four weeks) showed the left one is clean. Likewise, my urologist did a physical exam of the remaining testicle just three weeks ago. Also noteworthy, these new symptoms began a day or two after my partner, and I had sex for the first time post-surgery. Any thoughts on what could be causing these symptoms? Can this be mild epididymitis? I am not worried about something nefarious and have full confidence in my surveillance team. But my next appointment is not until next month, and I am hyper-aware given the recent diagnosis. Please help.



Welcome to

Stage 1 seminoma has a good prognosis, and cure is almost 100 % after adjuvant therapy. I do not think this pain is related to cancer or recurrence, as cancers are painless. It might be vague pain as it radiates to many places, and if it is mild, I suggest you leave it alone.

If this pain is moderate or severe or associated with the testis's swelling, you need to go for an ultrasound scrotum.

The cause of scrotal pain are idiopathic (unknown cause), mild pain comes and goes, mild epididymo orchitis inflammation causes pain but is associated with swelling and increased size. Torsion is severe pain due to a testicular twist.

In your case, I think it is idiopathic and does not need intervention.

I hope this helps.

Was this answer helpful?


Related Questions:
My penis is hard even in a flaccid state. Kindly suggest a solution.

Let us go through the US (ultrasound) scrotum and penile Doppler next to get an inside look at your problem by an imaging test ... Penile Doppler US ... A repea...   Read full

How to differentiate symptoms of testicular cancer from varicocele?

Best to differentiate between two is ultrasound scrotum ...   Read full

What is the reason for testicular pain and burning sensation in the leg?

.. can happen due to any cause like a simple infection of virus or bacteria. So you do not have to worry about it. The burning sensation of the leg could be due to some allergy or something. Your problems are in mind and not the body. You are anxious...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Can a herniated disc cause testicular pain?

Query: Hello doctor, I am a 48 year old male. Ten days back, I noticed that my testicles has moved up and are receding into my groin. I also have a dull pain in the testicles. This pain is not always there, but it happens on and off. I am worried that this may be a serious condition. Could you please l...  Read Full »

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As content published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.