What could be the reason for my recurrent testicle pain?

Question

Hi doctor,

I sat on my testicle before two months, and I experienced an initial sharp pain for a few hours. I went to the ER and did a blood test, urine test and an ultrasound. Torsion, as well as infection, was ruled out. The exact incident occurred a few days ago. I did a urine test and another ultrasound. Torsion was ruled out once again. When the pain flared up again, I went to the doctor back. Again, I did an ultrasound, urine test, and blood test. Torsion and infection were ruled out once again. The doctor pointed out a little bit of fluid around my testicle, and I had no pain. But, still, I have pain in my testicle. What was ruled out with these tests? From where does the pain arise?

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through the attachment (attachment removed to protect patient identity). This acute testicular pain, with normal testis examination and ultrasound report, looks like simple orchialgia. Ruling out torsion is very important in young males presenting with testis pain. It shows that the testis is not twisted on its own. Pathological pain has associated redness and swelling. From your report, I can say that you do not have torsion and epididymitis. Young males have simple orchialgia due to muscle tone. You need scrotal support. Take tablet Pregabalin 75 mg at bedtime.

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, there is nothing to worry, as the ultrasound and the examination done in an emergency are normal. Kindly follow the advice of the scrotal support and take Pregabalin when you have pain. Thank you.