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Urology/cremastic cramping causing aggressive rise in r/h testicle after urination

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Question
Dear sir.
I am a chronic amphetimine user(daily 1/2 gram) and my method is oral injestion. For approx two years i have experienced on many occasions exeptional pain after urination followed by what i believe to be cramping and testicular pain with r/h testicle rising to almost be non-visible in scrotum. GP has diagnosed cremastic cramping we have tried magnesium to no effect. This condition ceases when i stop amphetimine usage and starts again within two weeks of usage. This pain and its effects are generally felt within 10seconds of finishing urinating Or if i try to suppress urination for some reason. Any ideas on possible remidies and causes?

Answer
I am sorry but I know if no specific remedy as it is not clear to me what is the diagnosis.  However, conditions that could cause this include intermittent torsion where the testicle twists and elevates, and this is associated with significant pain.  You can learn more by looking up "testicular torsion" and if that is suspected, the treatment is a surgery to tack the testicles to the issue near the scrotal skin to prevent twisting.  You should see a Urologist, not a GP.   You are saying you only get this with using amphetamines, and of course it would benefit you in many ways to seek treatment and stop using drugs, but I am guessing you are aware of this option.  Best of luck.

Urology

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Joel Gelman, M.D.

Expertise

Urethral Stricture Disease, Peyronie's Disease and disorders of penile curvature, Erectile Dysfunction with a focus on penile implant surgery, Male Incontinence, Hypospadias

Experience

Dr. Gelman is a Board Certified Fellowship Trained expert in Male Reconstructive Urology and the Director of the Center for Reconstructive Urology in the Department of Urology at UC, Irvine Medical Center.

Organizations
American Urologic Association Society of GU Reconstructive Surgeons (Board of Directors) International Sexual Medicine Society Western Section, Americal Urological Association

Publications
Journal of Urology Urology Journal of Endourology

Education/Credentials
Residency in Urology, UCLA, completed 1995 Fellowship in GU Reconstruction, Devine Center, completed 1997

Past/Present Clients
The Center for Reconstructive Urology is a regional, national, and international Tertiary Referral Center for urethral stricture disease, penile curvature, erectile dysfunction, male incontinence, and other surgical disorders of the male urethra and penis. Patients have travelled from 24 different states and other countries to receive care at the Center for Reconstructive Urology. More information can be found at http://www.centerforreconstructiveurology.org

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