Chronic Testicular Pain
William

Japan

#43 Oct 29, 2009
I did notice that both stress and caffeine effected my pain levels.

I agree that orchiectomy is not the best or even recommended way to go. It was the only option presented to me at the time of my pain crisis so I did elect the right sided surgery.

I have been taking tranquilizers for stress and those have also helped my pain on the left side, there have to be a variety of alternative treatments. Coming from the experience of being cut repeatedly I will warn anyone not to try it until everything else has failed completely as there is no reversal.
Lorna

London, UK

#44 Nov 26, 2009
Hi, I'm just doing some research on behalf of my boyfriend and just came across this information which sounds very promissing in terms of treating chronic testicular pain.

Here is a small piece from the following webpage-
http://www.malereproduction.com/24_chrontestp...

A new surgical technique has been developed to help men with chronic testicular pain that have not responded to conservative medical treatments. This procedure known as Microsurgical denervation of the spermatic cord.

I then did a google search on Microsurgical denervation of the spermatic cord and this search came up with a lot of links.

Hope this helps
Chris

Aiken, SC

#45 Dec 24, 2009
I have dealt with chronic right sided scrotal/testicular pain for more than a year. I had a large (4 cm) epididymal cyst on the right side as well.
After tests to rule out infection, a four week course of antibiotics and various narcotics, my urologist and I opted to try an epididymectomy on the right side. I was advised that in many (approximately 25%) of cases this does not resolve the problem, but I was disabled by the discomfort.
The surgery relieved some of the symptoms, but worsened others. Apparently because I waited so long to deal with the problem, and the nerves in that area being inflamed for such a prolonged period, the pain has become neurogenic in nature.
We are presently in pain management mode, and considering microsurgical denervation (removing the nerve altogether), which may offer a permanent solution. If not, I've been told that long term pain management will be the only solution available.
It really seems that the causes of severe chronic testicular pain are extremely understudied, and very poorly known. My only advice to folks out there who have pain for more than a day or two is to make an appointment to be seen immediately. Don't try to "Man it out" or "tough it out". It really isn't worth it, and you'll wind up having to tough it out for the rest of your life!
Good luck, and Best Wishes to All
C!
JohnM

Mahopac, NY

#46 Dec 27, 2009
Chris,
I have a similar story to many here, having suffered epididymal pain for over 10 years. I too have tried pretty much everything. I am now considering denervation, having resisted other surgeries. I am interested in anyone who has had any experience with this. Also, the stanford protocol seems to be the rage right now. Not sure I buy into stress/pelvic floor dysfunction, but as always, I am willing to try anything. Unfortunately, this protocol is difficult to self administer and results are long term.
Best of luck to all. Lets keep the faith boys!
JM
Pete

Montréal, Canada

#47 Feb 7, 2010
I have been suffering from right testicular pain for a year and a half (am in my late 30s). I have seen a GP, 2 urologists, 3 neurologists, 1 rheumatologist, 1 physiatrics specialist, and a orthepedic surgeon. They even replaced my right hip thinking it was referred pain from there. I have had every test under the book and every treatment imaginable. I continue to push forward by having more tests (ctscan, mri, pain blocks, emg guided pain block, cysto...)and treatments but am losing hope. I am now exploring the possibility that it is caused by a pudendal nerve entrapment. Living with this is hell and being one a very large amount of narcotics and pain killers on a daily basis is too much.
William

Nagoya, Japan

#48 Feb 11, 2010
Pete wrote:
I have been suffering from right testicular pain for a year and a half (am in my late 30s). I have seen a GP, 2 urologists, 3 neurologists, 1 rheumatologist, 1 physiatrics specialist, and a orthepedic surgeon. They even replaced my right hip thinking it was referred pain from there. I have had every test under the book and every treatment imaginable. I continue to push forward by having more tests (ctscan, mri, pain blocks, emg guided pain block, cysto...)and treatments but am losing hope. I am now exploring the possibility that it is caused by a pudendal nerve entrapment. Living with this is hell and being one a very large amount of narcotics and pain killers on a daily basis is too much.
Seems really extreme to replace a hip before removing a testicle. The nerve blocks will tell you where the pain is coming from. THe orchiectomy MIGHT solve the pain.

It did solve 98% of my pain but I AM NOT RECOMMENDING it.
skippy

Bay Village, OH

#49 Feb 14, 2010
Has anyone ever tried this method?:http://www.malereprodu ction.com/24_chrontestpain.htm l seems like it might work, without anything drastic, not that surgery of any kind is'nt drastic, but this removes the nerves down there, which I'm not sure of the benefit of having nerves down there anyway. Same lower back pain with 24 hour a day testicular pain here, varies in strength, doesnt hurt when sitting or lying only when standing, walking, etc. havent been to a doctor yet, this has been going on for at least 5 years now.
Richard

Croton On Hudson, NY

#50 Feb 15, 2010
This may seem hard to beliieve ...I have had an on and off pain in the Right guy(mostly on) for over 5 years. Had many tests and seen 3 uroligists and an internist. when it is there it can last for months and seems to stop hurting if I lie down. I have finally found my fix and it is so simple that it is almost a joke. Remember bending over to touch your toes? Well At first I could not even come close . If I keep at it with my legs straight and eventually can touch the floor for thirty seconds..the back of the legs streetch and it is painful in the legs at first. Well in any event it seems to stretch whatever it is stretching and after it is easy to touch the floor the pain leaves me for weeks and months. If I do any strenuous Ab exercise it comes back and once again ...the stretch chases it away. 5 years to figure this one out. I hope it helps a few of you out there
William

Nagoya, Japan

#51 Feb 15, 2010
There are few doctors doing the microsurgical denervation, it is a new treatment and while there are a few good cases, any damage to the blood vessels and you are back to orchiectomy. I have spend over a year online trying to get actual men who have had the surgery to comment, I have not had a lot of luck. I think too that cutting the nerves will not always work and still it is only 3 nerves they cut. THe diagnostic tool is the nerve block, that is really hit and miss (literally). The guys who have had nerve blocks have extremely mixed reviews. The guys that went the full orchiectomy route (I had the right one taken 3 years ago) have a 95% pain reduction rate with over 60% complete pain relief. So there is more to it, diet, stress, etc. Just no good studies.
skippy wrote:
Has anyone ever tried this method?:http://www.malereprodu ction.com/24_chrontestpain.htm l seems like it might work, without anything drastic, not that surgery of any kind is'nt drastic, but this removes the nerves down there, which I'm not sure of the benefit of having nerves down there anyway. Same lower back pain with 24 hour a day testicular pain here, varies in strength, doesnt hurt when sitting or lying only when standing, walking, etc. havent been to a doctor yet, this has been going on for at least 5 years now.
Sijo Parekattil MD

Walnut Creek, CA

#52 Feb 16, 2010
FLOOD -- Los Angeles wrote:
Hi:
Hope you can help! I am male, 52 years old. Chronic periodical right testicular pain for about 15 years. Recently pain has become constant, for over 6 months now. Pain is exacerbated by sexual activity, also by sitting at desk for extended periods.
History of urinary tract infections/prostatitis. No hematuria. No infection. PSA levels normal. Ultrasound reveals small right spermatocele. CT scan reveals very small bilateral calculi. Urology MD consultation assessment: abnormalaties not severe enough enough to cause pain.
Testicular pain is accompanied by right sided pain in low back, right groin, right hip, right flank. Pain radiates down right leg into knee. MRI scan reveals congenitally narrow spinal canal with some facet hypertrophy, some end plate irregularities. Physical Medicine MD consultation assessment: abnormalities not serious enough to cause pain.
Current plan is to have steroid injection in spine just on the CHANCE of relieving testicular pain. In your opinion, do my symptoms absolutely indicate no urologically related problem serious enough to cause testicular pain, and is the plan of treating this as a muscular/skeletal problem the right one?
We have a multidisciplinary clinic dedicated to treating men with chronic testicular or groin pain in the Department of Urology at the University of Florida. I would be glad to talk to you about some new treatment options for such pain. We have some new minimally invasive procedures to try to give you permanent relief from your pain. Please free to email me if you are interested at: [email protected] u
Website: http://urology.ufl.edu/urocare_maleinfertilit...
Sijo Parekattil MD

Walnut Creek, CA

#53 Feb 16, 2010
We have a multidisciplinary clinic dedicated to treating men with chronic testicular or groin pain in the Department of Urology at the University of Florida. I would be glad to talk to you about some new treatment options for such pain. We have some new minimally invasive procedures to try to give you permanent relief from your pain. Please free to email me if you are interested at: [email protected] u
Website: http://urology.ufl.edu/urocare_maleinfertilit...
Frank

United States

#54 Feb 22, 2010
I have had constant testicular discomfort since February 14, 1996. I recall the day. It showed up after a mere medical physical. Left testical. As years have past, I'm adjusting to living with the pain, but I wish there was a solution. First, a urologist found a verecosele vein, which I had surgically removed. Then I was treated for epiditimitis with various antibiotics. I was then referred to nuerologists. One believed my pain was referreed pain, and placed me through a series of nerve tests, which were very painful. They wrote up an extensive diagnosis stating I had a degenerative nerve disease. The treatment was experimental at the time. They also found that my penile channel was too narrow and stated that I didn't have proper urination flow. They treated me with muscle relaxants, but it didn't help. Another neurologist repeated the test, which were more painful to me. They couldn't understand why the tests (emg and nerve conduction) were so painful to me. They screened me for lime disease, and began treatment for that. They also did a spinal tap but found the fluid clear, and decided that it wasn't lime. They said that the pain is in my head and not real and suggested pain therapy.

I used to be very healthy and athletic. I'm 45 y/o now. My general health is not as good as it use to be. I've gained weight and have other problems now including digestinal, muscular, joint, but somehow I believe it is all related. I am starting to practice better health for myself.. diet and excercise, becuase it's just a good idea, but I think I'll still have the testicular problem. I don't want a remedy with pain killers. I want to know what and why my body is telling me with the pain.
chitown

Acworth, GA

#55 Feb 22, 2010
Wow. Every post on here sounds like it came from me. I am to the point where I do not even beloved doctors are so dismisive of this pain. I will tell you I have had three operations and with minimal results. I have seen that Dr p has posted on here. Let me tell you. Guys he is the real deal. He really cares about this issue and is the best in his field. He will call you personally as soon as
he can. When he speaks you hear the compassion. I have a operation soon and will update. All I can say is call him. He seems like the only voice for our pain. It is worth q call.
Jugdish

Appleton, WI

#56 Mar 7, 2010
Same as most here, but mine is due to vasectomy. Pain started about 8 months ago and went away on 6 months of cipro. After that course of antibiotics, I started with pain at the head of the epid. Now on month 2 of doxycycline and am now improving slowly. Exercise has helped improve my pain tolerance. If this does not resolve in 3 more months, I am having spermatic cord denervation by Dr. Levine in Chicago. He authored a study that showed greater than 80% success rate at total resolution of pain. Fingers crossed that I don't need to go down that road. Most frustrating thing is most Urologist I have seen could care less about it. It is not a large part of their practice so it is not top priority to deal with it. Frustrating to say the least.
skippy

Canada

#57 Mar 14, 2010
They would care about it if it were happening to them, or their son.
Joez

Altavista, VA

#58 Mar 15, 2010
I am also suffering from this pain the hip and leg pain iS worse than the testicle pain. I somewhat beleive it relates to my ejaculation. After I ejaculate I seem to feel pain for the next few days. It lessens when I don't. Any info would be appreciated
itgotweird

Ogden, UT

#59 Mar 16, 2010
All of these symptoms sound just like me after I got a vasectomy. A small percentage of men develop post vasectomy pain syndrome (PVPS), only years after their vasectomy. So even if everything went fine, you may not realize that this is the cause of your pain. Your body makes millions of sperm an hour, it has to go somewhere. For those of you that have not been sterilized, any sperm blockage would probably have similar symptoms.
Chronic

Philadelphia, PA

#60 Mar 26, 2010
I have a very similar condition - I injured myself in a similar way with leg press and squats. An issue with your Si joint can cause radiating pain into your scrotum and your genitals - There is a PT named Richard DonTigney who has a series of exercises focused on rehabing the joint. I've had my pain for 3 years and it does seem to be getting better after about 2 weeks of doing these exercises. He is very open to communicating to you also. http://thelowback.com/

I wish you luck - personally I hesitate to jump on the Chronic NonBacterial Prostatitis or Pudendal Neuralgia bandwagon. I think you've injured yourself and you need to rehab that injury.
kirk

Denver, CO

#61 Apr 12, 2010
I have had pain in my left testical for about 12 years since my vascectomy and it has been ectream at times. To no avail all the doctors could come up with was that it was that it was in my head. After living with it until now and screwing up my back afew years ago I am now expereancing pain in my in my left hip and the doctor I am going to thinks that maybe I have a hernia that the doctors,surgons,and urologist have mist so hopfully they will get it right this time I really feel for all you guys and know what it is like. After getting my vesectomy I was talking to a doctor who talked to me and I think he kind of had it right that the vesectomy shouln't be done and that women should get their tubes tied because women have less probems with that and now I belive him even though my wife dosent.
Sijo Parekattil MD

Gainesville, FL

#62 Apr 22, 2010
We have a multidisciplinary clinic dedicated to treating men with chronic testicular or groin pain in the Department of Urology at the University of Florida. I would be glad to talk to you about some new treatment options for such pain. We have some new minimally invasive procedures to try to give you permanent relief from your pain. Please free to email me if you are interested at: [email protected] u
Website: http://urology.ufl.edu/testicularpain/

Tell me when this thread is updated:

Subscribe Now Add to my Tracker

Add your comments below

Characters left: 4000

Please note by submitting this form you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

Urology Discussions

Title Updated Last By Comments
Pain in left testicle (Sep '06) 12 hr Tim 265
post ejaculation, I pee, then I just FEEL like ... (Sep '06) Feb 15 Guest 1,208
Scalding skin in shower... (Jun '09) Feb 8 Cut em Off 10
Burning Head of Penis , Sore Testicles, And Pai... (Jun '07) Feb 7 Edd1578 1,144
frequent urination problem!!!!!!!! during kidne... (Mar '07) Feb 7 cps53 75
Testicles that feel "dead" (Aug '07) Feb 3 Brift 44
Low abdominal/groin pain with low ejaculate vol... (May '16) Jan 31 Glenn Jamie 5
More from around the web