Brief Answer:
Congested right testes with persistent testicular discomfort sensation.

Detailed Answer:
Brief Ans-Congested right testes with persistent testicular discomfort sensation.

Hi Dear, Thanks for your query to HCM.
Read and reviewed facts of your query in context to your persistent testicular discomfort, after recent running event.
My Impression-
Based on facts of your query, You seem to suffer from -early subclinical Varicocele.


Plan of Treatment suggested-
Valsalva's Maneuver-to test and confirm whether forceful exhalation against the closed airway, increases the testicular sensation.If it increases, then the diagnosis of early Varicocele is confirmed.

Get USG and colour doppler study would confirm and detect the Varicocele in your case.This would confirm the early Sub-clinical Varicocele.

Get Consultation from Urologist and find out the cause of Varicocele.
If its cause is - incompetent venous valve at the iliac vein entry, then You may have to plan further treatment- of Micro-Vascular Varicocelectomy, as suggested from your Urologist.

Non-Surgical Care-
You should relieve your testicular sensation, as its very early stage and you have long time to plan for surgery if its indicated by testicular atrophy or testicular pains you may get in future.
You can control the discomfort in testes till that time.
Try to sleep with trendlenberg -head low position, which would delay the clinical Varicocele in your case.
Also avoid long standing job work,as far as possible.

Cap Vit E 1 x 2 for 3 mths time.

Cap-Dafflon-for its Venotropic effects- and improved lymphatic and microcirculation-500 mg x 1-1- x 2 per day in early stages for 3 -6 weeks if discomfort is more, would help in avoiding surgery.

Venorutin (Toxerutin-300 mg)/

Clobenoside

Ibuprofen 400 mg x causes Venotropic effects with NSAID painkiller effects

Hope you got multiple options to try to avoid surgery.
Hope this would help you to plan further treatment with your doctors there.
Welcome for any further query in this regard.

Good Day !!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.

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