Varicocele and Chronic Prostatitis: Exercise Guidelines - Urology

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Testicular and urinary tract issues (2)


Hello Doctor, I am the one who asked about left testicular pain the other day.
I visited a urologist yesterday, and the doctor mentioned that I have mild varicocele.
The pain in the perineum may be caused by chronic prostatitis, but he did not specifically state whether the testicular pain is due to the varicocele.
He only prescribed anti-inflammatory medication and other drugs.
I usually engage in bodyweight exercises such as push-ups, sit-ups, squats, jogging, and swimming, and I also participate in ball sports.
I would like to ask Dr.
Du if I can continue these activities.
Thank you, Doctor.

Xiao Xi, 10~19 year old female. Ask Date: 2023/04/20

Dr. Du Shixi reply Urology


Hello: It is not recommended to engage in strenuous abdominal exercises when experiencing symptoms.
Wishing you good health.

Reply Date: 2023/04/20

More Info


Understanding varicocele and chronic prostatitis is essential for managing symptoms and maintaining overall health. Varicocele is a condition characterized by the enlargement of veins within the scrotum, similar to varicose veins in the legs. It can lead to discomfort, pain, and potentially impact fertility. Chronic prostatitis, on the other hand, is inflammation of the prostate gland that can cause pelvic pain, urinary issues, and sexual dysfunction.
Given your situation, where you have been diagnosed with a mild varicocele and suspect chronic prostatitis, it is crucial to approach exercise with caution. Regular physical activity is beneficial for overall health, but certain exercises might exacerbate your symptoms. Here are some guidelines to consider:
1. Low-Impact Aerobic Exercises: Activities like swimming, walking, or cycling can be beneficial. These exercises improve blood circulation without putting excessive strain on the pelvic area. Swimming, in particular, is excellent as it provides a full-body workout while being gentle on the joints and pelvic region.

2. Strength Training: Bodyweight exercises such as push-ups, sit-ups, and squats can be continued, but it’s essential to listen to your body. If you experience pain during these exercises, it may be wise to reduce the intensity or modify the movements. Avoid heavy lifting or exercises that put a lot of pressure on the abdomen and pelvic area, as these can increase discomfort.

3. Flexibility and Stretching: Incorporating stretching exercises can help alleviate tension in the pelvic area. Focus on gentle stretches that promote flexibility without causing strain. Yoga can be beneficial, but be cautious with poses that may put pressure on the abdomen or groin.

4. Avoid High-Impact Activities: Activities that involve jumping, running on hard surfaces, or heavy lifting should be approached with caution. These can increase intra-abdominal pressure and exacerbate symptoms related to varicocele and prostatitis.

5. Listen to Your Body: It’s crucial to pay attention to how your body responds to different exercises. If you experience increased pain or discomfort, it may be necessary to modify your routine or consult with a healthcare professional for personalized advice.

6. Consult with a Specialist: Since you have already seen a urologist, consider discussing your exercise routine with them or a physical therapist who specializes in pelvic health. They can provide tailored recommendations based on your specific condition and symptoms.

7. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support overall health and may help manage symptoms. Certain foods may exacerbate prostatitis symptoms, so it may be beneficial to discuss dietary changes with your healthcare provider.

In summary, while maintaining an active lifestyle is important, it is equally crucial to adapt your exercise routine to accommodate your condition. Focus on low-impact activities, listen to your body, and consult with healthcare professionals to ensure that your exercise regimen supports your recovery and overall well-being.

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