Patient's question:
Bilateral testicular for 5 years, the pain radiates to both legs and lower back, worsens with prolonged standing and walking. It has been treated as epididymitis without improvement. Last year, bilateral varicocele was diagnosed, and laparoscopic high ligation surgery was performed. Now, more than 3 and a half months have passed, but the pain has not subsided. Due to the catheter insertion during surgery, urethral injury occurred, and now after urethral dilation, there is pain at the urethral meatus during urination.Doctor's answer:
Thank you for your question. I will first address your first question. Bilateral varicocele only causes bilateral scrotal swelling and pain when it is very severe. Generally, even if varicocele is treated, it will not alleviate testicular heaviness. However, bilateral testicular heaviness and pain are usually caused by testicular or epididymitis, more often related to pelvic pain caused by prostatitis. In addition to using anti-inflammatory drugs, pelvic floor spasm-relieving drugs should also be used.The second question is about urethral stricture. Generally, a urethral contrast study is needed to determine whether there is indeed a stricture and its location. If surgical treatment is not required, regular dilation should be performed. After dilation, dysuria is usually caused by inflammation and requires anti-inflammatory treatment, which should be curable.
Finally, you need to relax your mind, stay positive, and cooperate with your doctor. In the future, it may be possible to cure it.