Which examinations are necessary for persistent testicular pain?
June 27, 2024 | 90,00 EUR | answered by Ben Busse
Dear Sir or Madam,
I am writing to you today because I have been experiencing persistent testicular pain for some time now and I am unsure what investigations are necessary in my case to determine the cause of my symptoms. The pain occurs regularly and significantly impacts my quality of life.
I am a 45-year-old male with no previous medical history related to urology. The testicular pain is unilateral and radiates to my lower abdomen. It is particularly noticeable when sitting or walking, and at times is so intense that it restricts my movements. I have also felt a slight pressure on the affected side.
I am concerned that the pain could be indicative of a serious condition such as testicular torsion, an infection, or a tumor. I have already tried to alleviate the symptoms with pain medication, but with only moderate success. Therefore, I would like to know what further investigations are necessary in my case to identify the exact cause of my testicular pain.
What diagnostic measures would you recommend to make a definitive diagnosis? For example, are ultrasound scans, blood tests, or other specific tests required? How can I best prepare for the investigations and what steps can I expect afterwards?
I thank you in advance for your support and advice.
Yours sincerely,
Gerd Engel
Dear Mr. Engel,
Thank you for your detailed description of your symptoms. Testicular pain can have various causes, from benign inflammations to serious conditions such as tumors. It is therefore important that you promptly seek examination from a urologist to identify the exact cause of your pain.
In your case, the following diagnostic measures would be advisable to establish a secure diagnosis:
1. Ultrasound examination: This painless and non-invasive procedure allows the doctor to assess the structure and condition of your testicles and surrounding tissue. This can help visualize tumors, cysts, inflammations, or other anomalies.
2. Blood tests: Certain blood values can provide clues to inflammation, infection, or other conditions. Therefore, a blood test may be necessary to clarify the cause of your testicular pain.
3. Further specific tests: Depending on the results of the ultrasound and blood tests, additional specific tests may be required. This could include a urine test for infections or a hormone analysis.
To properly prepare for the examinations, it is advisable to make a list of your symptoms, possible pre-existing conditions, and medications beforehand. Additionally, you should note down any questions you have for the doctor to ensure you don't forget anything.
After the examinations, the doctor will discuss the results with you and potentially provide a treatment recommendation. Depending on the diagnosis, this could involve medication therapy, surgery, or further follow-up examinations.
It is important that you take your symptoms seriously and seek medical examination promptly to clarify the cause of your testicular pain and treat it accordingly. Therefore, do not hesitate to schedule an appointment with a urologist.
I wish you all the best and hope that your symptoms can be relieved soon.
Kind regards,
Ben Busse
