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Urology/Testicular pain - alternating
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Question
Hi - I've been suffering testicle pain for 2 yrs now - never both sides - usually starts on the left and moves to the right in the early evening.
A multitude of tests has been negative - and only a small grade 1 varicocele and cyst noted on the right (+ granuloma). I am convinced this is about venous congestion (relieved overnight and comes back 2 mins after getting up). My question:
Is it possible to get testicle pain due to venous congestion without evidence of marked varicocity?
Chris:
While almost anything is medicine is possible, venous congestion is rarely the cause of any discomfort. Without evidence of varicosities or varicoceles, you can pretty much rule out venous congestion as a source of pain.
My advice is to get a second opinion from a urologist.
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| Comment | Thanks for the reply. Much as I feared! I've had 3rd and 4th opinions, but no closer to solving anything. | ||
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Answers by Expert:
Stephen W. Leslie, MD
Expertise
Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience
Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.
Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute
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