Left Scrotal Pain: Causes and When to Seek Further Evaluation - Urology

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Left scrotal pain can be a concerning symptom, and it's understandable that you're feeling anxious about it, especially given the duration and nature of the pain. Based on your description, there are several potential causes for your discomfort, and it’s important to consider them carefully.


Possible Causes of Left Scrotal Pain
1. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause pain in the scrotal area, especially when standing or lifting.

2. Epididymitis: This is an inflammation of the epididymis, the tube at the back of the testicle that stores and carries sperm. It can cause pain and swelling in the scrotum, often accompanied by redness and warmth.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain and swelling. If you experience this, seek immediate medical attention.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly when standing or after physical activity.

5. Trauma or Injury: Even if you haven't engaged in vigorous activity, minor trauma can lead to pain. This could be from a previous injury that you may not have noticed at the time.

6. Referred Pain: Sometimes, pain in the scrotum can be referred from other areas, such as the lower back or abdomen. Conditions affecting the kidneys or urinary tract can also manifest as scrotal pain.

7. Tumors or Cysts: While less common, tumors or cysts in the testicles or surrounding tissues can cause localized pain. Testicular cancer typically presents with a lump rather than pain, but discomfort can occur.


When to Seek Further Evaluation
Given that your pain has persisted for two weeks and is increasing in intensity, it is advisable to seek further evaluation. Here are some guidelines on when to see a specialist:
- Persistent Pain: If the pain does not improve or worsens over time, further investigation is warranted.

- Accompanying Symptoms: If you experience additional symptoms such as swelling, redness, fever, or changes in urination, you should seek medical attention promptly.

- Physical Examination: If a healthcare provider has already examined you and you still feel uncertain about the diagnosis, a second opinion or further evaluation by a urologist may be beneficial.

- Imaging Studies: An ultrasound of the scrotum can help identify issues such as fluid collections, masses, or vascular problems.


Conclusion
While the initial examination did not reveal any abnormalities, your ongoing pain is a valid concern that should not be ignored. It is important to communicate your symptoms clearly to your healthcare provider and express your worries about potential serious conditions like testicular cancer. A urologist can perform a more thorough evaluation, including imaging studies, to determine the underlying cause of your pain and recommend appropriate treatment.

In summary, while there are many benign causes of scrotal pain, the persistence and worsening of your symptoms warrant further investigation. Don't hesitate to seek a comprehensive evaluation to ensure your health and peace of mind.