Testicular Pain: Causes and When to Seek Help - Urology

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Testicular pain can arise from various causes, and understanding these causes is crucial for determining when to seek medical help. Based on your description, it seems you have experienced a series of urinary and testicular symptoms that may be interconnected.
Initially, you mentioned having urethritis, which is an inflammation of the urethra often caused by infections. This condition can lead to discomfort and pain during urination. Following this, you developed symptoms consistent with prostatitis, which is inflammation of the prostate gland. Prostatitis can cause pelvic pain, urinary issues, and sometimes referred pain to the testicles. The pain you described in your right testicle and lower abdomen after running could be related to the underlying prostatitis, as inflammation in the pelvic region can lead to discomfort in nearby structures, including the testicles.

You also noted that the pain in your right testicle has persisted for three weeks, and you have observed a small lump behind the testicle. It’s important to understand that while some testicular lumps can be benign, such as epididymal cysts or varicoceles, others can be more serious, including testicular cancer. Testicular cancer typically presents as a painless lump, but it can also cause discomfort or pain in the affected testicle. The fact that you have experienced pain and swelling, particularly if it worsens or is associated with other symptoms like changes in urination or systemic symptoms (fever, weight loss), warrants further investigation.

In general, if you experience any of the following symptoms, it is essential to seek medical attention promptly:
1. Persistent Pain: If the pain in your testicle does not improve or worsens over time, it is crucial to consult a healthcare professional.

2. Swelling or Lumps: Any new lump or swelling in the testicle or surrounding area should be evaluated, especially if it is painful or changes in size.

3. Changes in Urination: If you experience changes in urination, such as increased frequency, urgency, or pain, this could indicate an underlying issue that needs to be addressed.

4. Systemic Symptoms: Fever, chills, or unexplained weight loss should prompt immediate medical evaluation.

Given your history of urethritis and prostatitis, it would be wise to follow up with a urologist. They may recommend imaging studies, such as an ultrasound, to assess the testicles and surrounding structures. Blood tests, including tumor markers, may also be performed to rule out testicular cancer or other conditions.

In summary, while your symptoms may be related to prostatitis, the presence of a lump and persistent pain in the testicle necessitates a thorough evaluation to rule out more serious conditions. Early diagnosis and treatment are key to managing any potential issues effectively. Please do not hesitate to seek medical attention, as timely intervention can make a significant difference in outcomes.