My Left Testicle Hurts...?

Question

For about 4-5 days my left testicle has been constantly in pain and discomfort...a few times my right one has had some pain also. I went to the doctor today to get it checked out, the doctor didn't feel anything like bumps or nodules and I didn't feel any pain when the doctor was doing the test, the doctor said I have blood in my urine and now I have to see a Urologist and I still feel pain in my left testicle....What could I have, and could it be patient or is it something I need to get taken care of today?

Thanks Yach for answering...I've notice that my left testicle is further out then my right one... it feels like maybe for example left: o right: 0 like it's tilted outward.

Answer 1

It would be very wise to see the urologist, but it doesn't sound emergent.

The most emergent thing that pops to mind would be testicular torsion...where the testicle twists up...and can cut off blood supply...and you end up losing your testicle. This is unlikely in your case. Torsion usually occurs suddely after vigorous activity, or something. It is more painful than what you are describing. It would have been so painful, you would have gone to the ER the very first day...and might have been sick to your stomach with pain...

There is a slight chance of testicular cancer...which is why you need to follow-up with the urologist. Not very likely, but possible...and must be considered. If you urologist has any suspicion, you will end up getting an ultrasound of your testicle. Most of the time, though, you'd feel a bump, or something (though not always).

Your urologist would probably test for STDs, too, if you have any risk factors (i.e. are sexually active)...as this might be bacterial epididymitis. Though, there is a non-sexually transmitted form of this, as well...and the urologist might just put you on antibiotics and follow-up with you to see if it clears up, as it usually does on antibiotics.

Also, it might be a hernia. Oftentimes, hernias even up higher in the inguinal region can have "referred" pain down into the testicle. You might need surgical correction for this, if this is the case. If this were the case, the pain would persist despite antibiotic treatment and a negative/normal ultrasound.

Finally, the urologist will hopefully repeat the urinalysis to make sure it was, in fact, blood in your urine. Sometimes the dipsticks are wrong. They will "spin the urine down" to see if it is, in fact, blood.

In any event, there is no pressing need to be evaluated really soon...unless the pain becomes very severe. In this case, it might be torsion...and you would want to go to an emergency room immediately for evaluation. If you wait too long with torsion, you could wind up losing a testicle...

With the little info you have given...I'd put my money on epididymitis or a hernia...which are both fairly common and curable...

I hope all this helped some...