Discussions By Condition: I cannot get a diagnosis.

inguinal pain & swelling

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: patient1001
  • November 21, 2008
  • 10:37 PM

I'm 51 yr old male, history of chronic fatigue/low energy and muscle stiffness. Also a corrected undescended (left) testicle around 10 years old.

A few years ago I felt a sharp tearing pain in the testicle region, visited a urologist who said the testicle was still intact. Pain went away. In past few months have experienced migrating pains in the testicle and inguinal area, with puffiness/swelling. The pain varies between a pulling (nerve or muscle related) to gassy sensation. CAT & ultrasound showed nothing, urologist felt nothing while coughing, ruled out an inguinal hernia but I'm still not sure. There's some atrophy to the testicle, one urologist said he'd remove it, another surgeon said it wasn't cancerous or too severely shrunken, to leave it alone.

One surgeon thought it might be a fatty tumor. No one wants to explore surgically due to ugly scar from the orchipexy, probably worried over liabilities.

On scale of 1-10, pain varies between 2-3. Can't walk fast or run at all. No detectable mass besides the puffiness. No fevers or acute infections. Diet does seem to have an effect, certain foods (protein) make worse. Prostate antigen, tumor marker both negative. Already limits my mobility, unable to work past the stiffness, and not yet ready to "age gracefully;" obviously I'd like to prevent this from getting even more serious.

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