AboutStephen 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 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only 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.
Question Hello Doctor. Firstly, I would like to commend the work that you're doing on this site. It is quite admirable.
Recently I've been exerting myself during sex, that is, trying to hold back my ejaculation and having alot of sex.
A day after sex, I woked up the next morning with a hard erection. I noticed that my left testicle was severly cramping up whenever blood was exerted into the penis.
It feels as if either the left testicle, or area behind the left spermatic cord, is cramping up whenever I get a hard erection. The unusual part is, the cramping pain ONLY occurs with an erection and when the blood is "exerted" into the penis. If I'm flacid, then there is generally no pain. There are no other problems, such as lumps, swelling, urination pain etc. My speculation is either a left Pelvic floor cramp or a left cremaster cramp. Its been about 4 days since the initial onset and I've taken anti-inflammatories, and iced the area.
Are these muscle cramps possible??
What else could this be?
What should I do to resolve the pain?
Thank you sincerely.
Answer While almost anything is possible, the muscles in these areas rarely cause problems. The only muscle that causes a change in location of the testicle is the cremasteric muscle and it's always possible that this muscle is damaged in some way. Anti-inflammatories and ice are reasonable first steps. Obviously, you should avoid sexual activity until this has resolved.
My best advice is to see a urologist for an examination. While this doesn't sound serious, it's best to make sure.
