Testicular Pain After Underwear Compression: Causes and Concerns - Urology

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Testicular pain can be a concerning symptom, especially following an incident where the testicle may have been compressed or injured. Based on your description, it sounds like you experienced a significant amount of discomfort after your testicle was caught in your underwear while sitting cross-legged. You sought medical attention promptly, which is a wise decision, as testicular torsion (twisting of the testicle) is a surgical emergency that requires immediate intervention.

From your account, the Doppler ultrasound indicated normal blood flow to the testicle, which is a reassuring sign. In cases of testicular torsion, the blood flow is typically compromised, leading to severe pain and swelling. The fact that your doctor noted that the testicle appeared soft and normal in consistency further decreases the likelihood of torsion.
The medications prescribed to you—Dolcol (a pain reliever), famotidine (an acid reducer), zeropin (an anti-inflammatory), and purfen (another pain reliever)—are aimed at managing your pain and any potential inflammation. It’s important to note that while these medications can help alleviate discomfort, they may not address the underlying cause if there is an injury or inflammation that requires further evaluation.

Your ongoing pain, particularly the radiation to the groin and lower back, could be due to several factors. It’s possible that you may have sustained a minor injury to the surrounding structures, such as the spermatic cord or the muscles in the groin area. Muscle strains or ligamentous injuries can indeed cause lingering discomfort, and the pain can sometimes be referred to other areas, such as the abdomen or lower back.

Regarding your concerns about testicular torsion, it’s important to clarify that torsion typically presents with sudden, severe pain, often accompanied by swelling and sometimes nausea. The pain is usually localized to the affected testicle, and the testicle may appear higher in the scrotum compared to the other side. While torsion can occur in various orientations, it is most commonly lateral (side-to-side). However, the absence of significant swelling and the normal appearance of the testicle on ultrasound make torsion less likely.

As for the swelling you mentioned near the glans of the penis, this could be a separate issue, possibly related to irritation or inflammation. Conditions such as balanitis (inflammation of the glans) or other infections could cause localized swelling and discomfort.
Given that your symptoms have persisted despite medication, it would be prudent to follow up with your healthcare provider. They may consider further evaluation, including a physical examination focused on the testicles and surrounding structures, and possibly additional imaging if necessary.
In summary, while your symptoms are concerning, the initial evaluation suggests that testicular torsion is unlikely. However, persistent pain warrants further investigation to rule out other potential causes such as inflammation, infection, or injury. It’s essential to communicate your ongoing symptoms to your healthcare provider to ensure appropriate management and peace of mind.