Testicular Pain After Urethritis: Possible Complications

Testicular tenderness after urethritis?

Two weeks ago, I experienced difficulty and pain while urinating and consulted a urologist.
The doctor diagnosed me with mild urethritis.
I have been on medication for two weeks, and the urinary discomfort has mostly resolved.
However, yesterday I felt a dull pain in my right testicle, which is tender to touch at the epididymis and appears noticeably swollen and hardened compared to the other side.
There is also a small lump on the surface of the testicle.
Additionally, my semen has a yellowish tint and is more viscous, with some jelly-like particles.
Could this indicate that the urethritis has progressed to an infection in other organs?

Tang, 20~29 year old female. Ask Date: 2015/11/29

Dr. Xu Weikai reply Urology

Hello, if you are experiencing pain in the scrotum, it may be due to epididymitis, which requires a course of antibiotics for 4 to 12 weeks.
It is recommended to apply local ice packs to reduce swelling and alleviate pain.
For more detailed information on epididymitis, you can search online.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/29

More Info

Experiencing testicular pain after a recent bout of urethritis can be concerning and warrants careful consideration of potential complications. Urethritis, which is inflammation of the urethra often caused by infection, can sometimes lead to complications if not fully resolved. Given your symptoms, it is essential to understand the possible causes and the appropriate steps to take.

Firstly, the pain in your right testicle, particularly if it is accompanied by swelling and tenderness in the epididymis (the coiled tube at the back of the testicle), raises the possibility of epididymitis. Epididymitis is an inflammation of the epididymis, which can occur as a complication of urethritis, especially if the infection ascends from the urethra. The presence of a hard lump and the discomfort you describe could indicate an inflammatory process or even an infection in the epididymis.

Additionally, the changes in your semen, such as the yellow coloration and the presence of jelly-like particles, could suggest an ongoing infection or inflammation. Semen can appear yellow due to various factors, including the presence of white blood cells, which are indicative of infection or inflammation. The jelly-like consistency may also be a result of inflammatory changes or the presence of debris from the infection.

Given these symptoms, it is crucial to seek medical attention promptly. Here are some reasons why you should consider returning to your healthcare provider:
1. Potential Complications: If the urethritis has progressed to epididymitis or even orchitis (inflammation of the testicle), timely treatment is essential to prevent complications such as abscess formation or chronic pain.

2. Diagnostic Evaluation: A thorough examination, including a physical assessment of the testicles and possibly an ultrasound, can help determine the cause of your symptoms. This evaluation can rule out other conditions, such as testicular torsion or tumors, which require immediate intervention.

3. Appropriate Treatment: If an infection is confirmed, your healthcare provider may prescribe antibiotics tailored to the specific bacteria involved. If there is significant inflammation or pain, additional medications may be necessary to manage your symptoms effectively.

4. Monitoring for Recurrence: Given your history of urethritis, it is essential to monitor for any signs of recurrence or complications. Your healthcare provider can guide you on preventive measures to reduce the risk of future infections.

In summary, while your initial symptoms of urethritis may have improved, the new onset of testicular pain and changes in your semen warrant further evaluation. It is crucial to communicate your symptoms to your healthcare provider, who can conduct the necessary examinations and provide appropriate treatment. Early intervention can help prevent complications and ensure a better outcome. Please do not hesitate to seek medical attention as soon as possible. Your health and well-being are of utmost importance.

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