Right Testicular Pain: Causes and Concerns - Urology

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Right testicular pain can be concerning, especially when accompanied by swelling or changes in the testicle's appearance. Based on your description, it seems you experienced acute pain in your right testicle following masturbation, and later noticed a small lump along the spermatic cord leading to the abdomen. While I understand your fear of conditions like testicular torsion, it’s important to consider a range of potential causes for your symptoms.

Testicular torsion is indeed a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain in the affected testicle, often accompanied by swelling and sometimes nausea. The pain is usually intense and may not subside without surgical intervention. However, you mentioned that the pain has decreased and is now only mild, which is somewhat reassuring, as torsion typically does not resolve on its own.

Another possible cause of your symptoms could be epididymitis, which is an inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can result from infections, including sexually transmitted infections, or from trauma. Symptoms often include pain, swelling, and sometimes fever. The presence of a lump along the spermatic cord could also indicate a hernia or a hydrocele, which is a fluid-filled sac around the testicle.

Given that you have noticed a lump, it is crucial to seek medical evaluation. A healthcare provider will likely perform a physical examination and may order an ultrasound to assess blood flow to the testicle and to evaluate the lump. This imaging can help differentiate between torsion, epididymitis, and other potential issues.

In the meantime, here are a few recommendations:
1. Avoid Strenuous Activity: Until you have been evaluated by a healthcare provider, it’s wise to avoid activities that could exacerbate the pain or lead to further injury.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, be cautious with self-medication and consult a healthcare professional if you have any concerns.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, any new swelling, or changes in urination. This information will be helpful for your healthcare provider.

4. Seek Immediate Care if Necessary: If you experience sudden, severe pain, swelling, or any other alarming symptoms, do not hesitate to seek emergency medical care.

In conclusion, while your symptoms may not immediately suggest testicular torsion, it is essential to have a healthcare professional evaluate your condition to rule out serious issues and provide appropriate treatment. Early intervention can prevent complications and ensure your health and well-being.