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What Causes Itching Sensation And Discomfort In Testis?

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Posted on Wed, 19 Aug 2015
Question: Hi.,I have a strange issue ,when I was a teen 16 while I was doing exercise my left testical got big and rock hard. And pain I have visited to doctor and he doesn't have any clue but still he admit in hospital for 2days he discharge me. I came out from hospital with same issue after I using some tablets my pain is gone. I have applied some ice pack near testis for sometime.eventually size of testis reduces more then normal when time goes on its totally shrunk when I want to check my self it's difficult to feel and find my testis if I find also it's very small like peanut. Know I'm 33 got married 5years back my sex life OK I have one kid. Till know I don't feel any pain or nothing. Recently I'm feeling itchiness near gone area always feel very disappointed that I have only one testis. Feels very discomfort as mysac is with one testicle. Is any possible to regain my testis back as normal size. Feel worry to see doctor please help me. Is this problem effect for future?
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
You probably sufferred from epididymitis or epididymoorchitis.

Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through the details and understand your concerns. While you were 16, you probably got epididymitis or epididymoorchitis which could have been caused due to certain viral infections like measles. The doctor probably just gave you pain medication to take care of the issue. I understand that the problems are recurring and involving the testis of only one side. But that can happen. Use of T-bandage or scrotal support should provide relief from the discomfort. You may also put a pillow or rolled up towel under your scrotum to elevate your scrotum when you sit or lie down. Use pain medications like aleve (naproxen) as required. Ice can help in decreasing swelling and pain if it is there. If that does not help, I think that you should get yourself examined and evaluated by a doctor.
Since you already have a kid, it is clear that you have no issues in impregnating your partner. It is less likely that you would have any issues in the future as well.
I would not really bother about the itchiness. It is probably due to a fungal infection and the use of clotrimazole powder should provide relief.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (1 hour later)
Thanks for responding to my query Doctor, I still have few concerns which I would like to get some answers from you.

I doesn't have any pain or had any pain all this years except at beginning of that incident period.

Major concern is my "left testicle" which looks very small at this moment feels like almost disappeared in my sac, unless I really want to feel i have to search for it . Is it possible to regain to my original size with medicines Or have to perform only surgical procedures?

I can see little swollen in my left scrotum but its not paining, I am scared about Is my testicle damaged? Will it be removed? Is any health related problems occurs in future?
Please advice me
doctor
Answered by Dr. Prof. Kunal Saha (9 hours later)
Brief Answer:
Get a ultrasound along with Doppler study of the testes and scrotum done

Detailed Answer:
Thanks for asking back.
The cause of the atrophy of the left testicle needs evaluation. I would insist you to get a ultrasound along with Doppler study of the testes and scrotum done. It will give details on the present scenario. However, I doubt if anything can be done to improve the size. Since you have already impregnated your partner at least once, I doubt if there is anything to worry but the ultrasound and Doppler would make things clearer whether anything needs to be done and whether there is something worth worrying about.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (10 hours later)
Thank you for your suggestions DR XXXXXXX
as you mentioned in previous email i may have suffered from orchitis .but i left untreated since long time . Is my testicle is damaged completely? Is any danger with life threatening? If i feel my left testicle i can feel testicle like small peanut. If blood flow is stoped since my incident happen to till know almost 15years .if i show to urologist what kind of results i can expect? Will my blood flow can be resume normal? If testicle is damaged are they going to remove? Please advise iam very nervous and scare
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
There is no reason to panic. It is in a stable condition.

Detailed Answer:
Thanks for writing back.
I would strongly suggest you not to panic. Even if I assume that you had suffered from orchitis, the infection is likely to have subsided on its own. Whether it was infection or something else needs evaluation and I have already suggested the means to do so. I would suggest you not to jump to conclusions. Just get the Doppler USG done and based on the findings I would perhaps be able answer the rest of your questions. Thereafter you can get it checked by a urologist. I do not think that your testis needs removal.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (25 hours later)
Hi doctor, thanks for your advices I have book appointment with urologist this week. I have one more question my left groin area near pubic when I touch it I feel the bone is hard and I feel lump in small size, can you please advice me what it can be? The left groin area veins are hard I can feel it please advice me your concern

Thanks
doctor
Answered by Dr. Prof. Kunal Saha (16 hours later)
Brief Answer:
Clinical examination required

Detailed Answer:
Thanks again for contacting back.
I have gone through the description. You could be talking about some lymph nodebut unfortunately without proper clinical examination it is really not possible to make out what you are talking about. Please be patient and wait for the uroloigist to examine you.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (3 days later)
Hi doctor,
I have consulted urologist and explain my history then he have done physical examination of testis and conformed me that I had testical torsion when I was young. Because of torsion my left testis is shrunk due to no blood supply and testis is dead. And I have asked him weather to leave dead testis inside Scotrum or it will be removed he said no need to remove as its doesn't cause any harm to you. And even told me there is no need of ultrasound also. My concern is is it safe to leave dead testis inside scotrum ? And urologist checked my groin area near lump node he felt very small hernia and he said that it's fine there is no problem with that as it is very small no need of surgery please advice me your concern weather is it OK to leave or do I need to see another urologist? Please share your concerns

Regards
doctor
Answered by Dr. Prof. Kunal Saha (11 hours later)
Brief Answer:
No problems in leaving it there.

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond earlier.

Although I did not discuss with you, I had torsion of testis in mind and I feel that your urologist has given the correct explanation for the small sized testis. I do not think that there is any cause of worry in leaving it there in the present condition. I do not think that you need to see another urologist for the same and feel the explanations of this urologist justified. Let me mention that some other urologist might suggest you to get rid of it on assumption of a possibility of subsequent cancerous transformation although I doubt whether you need to worry about such a thing.

Wish you all the best.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prof. Kunal Saha (2 days later)
Hi doctor, please clear some more doubts which is pinning me . I have googled about testis arthopy if testicle doesnt remove by surgically it can lead to gangrene and even can potentially effects arthopy to normal testis aswell , is it true? Please advice me
doctor
Answered by Dr. Prof. Kunal Saha (15 hours later)
Brief Answer:
Gangrene does not occur after a long gap

Detailed Answer:
Thanks for writing back and expressing your concerns.Sorry for not being able to respond earlier.

That stage has already been crossed. Gangrene occurs when cell death occurs due to blood supply or oxygen gets cut off. But it occurs without delay after the insult. It is not something that occurs years after the oxygen deprivation. Instead, there is another form of cell death called apoptosis where a crisis is met by selective elimination of cells leading to atrophy. Since your testis is long atrophied, you need not worry about gangrene. Had a gangrenous condition occurred, it would have been necessary to remove it surgically.

Hope that helps.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (16 hours later)
Hi doctor, thanks for your valuable advice , doctor i just wanna make my self clear that will i have chances of health issues in future in related with arthopy? And i would like to seek advice from you that after couple of months i will be having medical examination for australia immigration does my issue reflects on medicals? Any chance of failing medical? As they more concerning on communicable diseases .please advice me
thanks
doctor
Answered by Dr. Prof. Kunal Saha (13 hours later)
Brief Answer:
Glad to be of service

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond earlier.

I do not see any health concerns related to the atrophied testis.
I do not think that it will have any effect on the medical examination for immigration. Certainly this will not make you fail the immigration check if you are otherwise healthy.
This is not a communicable disease and so it does not concern.
I am glad to know that you would like to contact me back again. You can feel free to do so for whatever health related query you have and I would be happy to help. You can reach me directly by visiting http://tiny.cc/DrKSaha
Wish you all the best.

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes Itching Sensation And Discomfort In Testis?

Brief Answer: You probably sufferred from epididymitis or epididymoorchitis. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through the details and understand your concerns. While you were 16, you probably got epididymitis or epididymoorchitis which could have been caused due to certain viral infections like measles. The doctor probably just gave you pain medication to take care of the issue. I understand that the problems are recurring and involving the testis of only one side. But that can happen. Use of T-bandage or scrotal support should provide relief from the discomfort. You may also put a pillow or rolled up towel under your scrotum to elevate your scrotum when you sit or lie down. Use pain medications like aleve (naproxen) as required. Ice can help in decreasing swelling and pain if it is there. If that does not help, I think that you should get yourself examined and evaluated by a doctor. Since you already have a kid, it is clear that you have no issues in impregnating your partner. It is less likely that you would have any issues in the future as well. I would not really bother about the itchiness. It is probably due to a fungal infection and the use of clotrimazole powder should provide relief. Regards