What causes mild testis pain and pelvic pain with no other symptoms?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

From the ultrasound images of your abdomen (attachments removed to protect the patient's identity), I see that there is a mild fullness or dilation of the left renal pelvis. The pelvis is a part of the ureter that is within the kidney. Causes for this can be many including physiological dilation from an over-distended bladder causing urine back pressure or pathological causes such as calculus, infection, inflammation, mass in the ureter, or prostatic causes resulting in an obstruction. Physiological dilation from an over-distended bladder should ideally be bilateral, but in your case bladder does not seem to be over-distended and dilation is unilateral. Also, I do not see any obvious mass, calculus, or inflammation in the renal area in the images provided.

Having said that ultrasound is an operator-dependent modality and the quality of images obtained depends on that. In addition, gas in the gut loops in and around the kidney or bladder region and can obscure small calculi or masses if at all present.

I would suggest two things.

1. Get a repeat ultrasound after six to eight weeks to have a relook at the left-sided collecting system.

2. Get a CT (Computed tomography) scan of the KUB region (kidney, ureter, or bladder) to look specifically for any hidden calculus or mass.

The male pelvic scan should also include images of the prostate gland, seminal vesicles, and pre and post-void urine volumes. I do not see any of these here. Were these structures scanned?

Apart from the fullness in the left renal pelvis, the rest of the scanned abdomen appears normal on imaging.

I hope this is helpful.

Thank you.

Hi,

Welcome back to icliniq.com.

So the best approach in your case would be to get a repeat abdominal scan after a few weeks to have a relook at the left kidney. At that time ask the technician to specifically look for free fluid too.

Take care.