Testicular Pain and Penile Curvature: What You Need to Know

Regarding the abdominal area, lower back, testes, and penis?

Hello Doctor:
1.
I would like to ask about a symptom I have experienced over the past few years.
My left testicle does not appear red or swollen, but it experiences intermittent pain.
Whenever the testicle hurts, I also feel pain in the left side of my abdomen and lower back.
Sometimes the pain becomes so uncomfortable that I don't want to move at all.
What could this symptom indicate? Is there any danger involved?
2.
I have another issue: my penis has always been curved when erect, resembling a banana shape, and it also tilts to the left at about a 45-degree angle.
This makes me feel very embarrassed and ashamed.
For many years, I have wondered why my penis is so deformed and different from others.
I haven't even dared to tell my family, which has caused me some psychological distress.
I wish to be like everyone else, so I kindly ask for your help in understanding how I can treat this and what solutions are available.
Thank you very much, Doctor.

A Wei, 20~29 year old female. Ask Date: 2006/08/14

Dr. Liu Jianting reply Urology

1.
It could be chronic inflammation.
2.
You have Yu Ruoyun, Zuo Zongtang, and Chiang Kai-shek, but at least, don't worry! You are not deformed! As long as it functions, there is no problem.
If you are still concerned, you can take photos (when erect) from various angles and then visit a urologist at the hospital.

Reply Date: 2006/08/14

More Info

Testicular pain and penile curvature can be concerning symptoms that warrant a thorough evaluation. Let's break down your questions and address them one by one.

1. Testicular Pain
The intermittent pain in your left testicle, which is accompanied by discomfort in the left abdominal and lumbar region, could be indicative of several conditions. Some potential causes include:
- Epididymitis: This is an inflammation of the epididymis, often caused by infections. It can lead to pain and swelling in the affected testicle.

- Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and requires immediate treatment.

- Inguinal Hernia: A hernia can cause pain in the groin area and may radiate to the testicle.

- Varicocele: This is an enlargement of the veins within the scrotum, which can cause discomfort and a feeling of heaviness.

- Referred Pain: Sometimes, pain from other areas, such as the kidneys or lower back, can manifest as testicular pain.

Given that your pain is intermittent and not associated with swelling or redness, it may not be an acute condition, but it is essential to consult a healthcare provider for a proper diagnosis. A physical examination, ultrasound, and possibly other imaging studies may be necessary to rule out serious conditions. Ignoring persistent testicular pain can lead to complications, so it is advisable to seek medical attention.

2. Penile Curvature
Regarding the curvature of your penis, it is not uncommon for men to have some degree of curvature. However, if the curvature is significant (like the 45-degree angle you mentioned) and causes discomfort or affects sexual function, it may be a condition known as Peyronie's disease. This condition is characterized by the development of fibrous scar tissue inside the penis, leading to curved erections.

The emotional impact of having a noticeable curvature can be significant, and it is understandable that you feel self-conscious about it. Here are some options for addressing this condition:
- Medical Evaluation: A urologist can assess the curvature and determine if it is causing any functional issues. They may perform a physical examination and possibly imaging studies.

- Treatment Options: Depending on the severity of the curvature and any associated pain, treatment options may include:
- Medications: Some medications can help reduce the curvature or pain associated with Peyronie's disease.

- Injections: Collagenase injections can help break down the scar tissue.

- Surgery: In more severe cases, surgical options are available to correct the curvature.

- Penile Traction Therapy: This involves using a device to stretch the penis gradually and may help reduce curvature over time.

Conclusion
Both testicular pain and penile curvature are conditions that can significantly affect your quality of life. It is crucial to address these issues with a healthcare professional who can provide a thorough evaluation and appropriate treatment options. Do not hesitate to seek help; many men experience similar concerns, and there are effective treatments available. Remember, your health and well-being are paramount, and addressing these symptoms is an important step towards feeling better both physically and emotionally.

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