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I had a lingering pain that radiated from my Pelvis area up my right side toward my kidneys. Additional extreme sharp pain occurred within the right testicle during the moment of ejaculation/climax. I visited my Primary Care Physician for blood work and thorough physical. Initial diagnosis was Prostatitus (prostate infection). Long term antibiotics were provided as prostate infections are resistant to antibiotics. There was a brief improvement on the antibiotics however the pain quickly resurfaced. Blood work showed no signs of a medical issue. Full Pelvic and Abdominal CT scan was performed with no abnormal results.
PCP referred me to a Urologist. Urologist evaluated CT and added Ultrasound of testicles, again with no abnormal results. Urologist prescribed FLOMAX which provided some reduction, although not elimination, of the pain however contained undesirable side effects. Subsequently the Urologist prescribed ALFUZOSIN ER 10MG which like FLOMAX provided some reduction in the pain however did not eliminate the pain while still incurring severe pain during ejaculation with less negative side effects. After nearly 9 months of ongoing treatment by the Urologist, the Urologist prepared me for the likelihood this could be a non-bacterial Prostatitus which may not be able to be treated effectively. I had delayed a umbilical hernia repair until the testicular/Pelvic/Abdominal pain was resolved. Facing the reality the Urologist had exhausted the investigation with no significant improvement and being prepared the pain could be a pain I would have to accept as the new normal, I conveyed to the urologist that I would proceed to meet with a surgeon to have the Umbilical Hernia repaired. In doing so, it triggered a long shot potential cause from the Urologist that I may possibly have an inguinal hernia which may not have shown up in the CT scan. The Urologist recommended I ask the surgeon to investigate for an Inguinal Hernia while performing the Umbilical Hernia Repair.
Upon meeting with the Surgeon, the Surgeon immediately suspected the pain was that of a Inguinal Hernia. The Surgeon performed a physical exam and found no evidence of an Inguinal Hernia however indicated they are easily missed and ordered a MRI of the Pelvis in an attempt to discover if there was in fact an Inguinal Hernia. The MRI of the Pelvis did not indicate the presence of Inguinal Hernia. During the prep of the Umbilical Hernia surgery, the surgeon and I discussed the possibility that there was a slim chance the MRI missed an Inguinal Hernia. The Surgeon elected to investigate while performing the Umbilical Hernia repair and in fact found not one but two Inguinal Hernia's (one one the right and one on the left side of the pelvis where the testicular vesicles penetrate the abdominal wall). The result was a second hernia repair surgery to repair the two Inguinal Hernia's (missed by both a CT and MRI scan). Nearly immediately there was a significant (80+%) reduction in testicular/pelvis/abdominal pain. The surgeon indicated the pain may fully go away however prepared me for the reality that the pain may not be fully eliminated. Within two months post surgery the pain is 99% gone (rarely will I encounter a mild flanking soreness in the abdominal area. Testicular pain 100% eliminated)
I am posting this to aid others whom may be experiencing the same conditions as I was diligently searching for the cause of my pain and a treatment to resolve. I consider myself fortunate as had I not had the Umbilical Hernia where the surgeon could poke around to investigate if other hernia(s) existed despite negative findings on both the CT and MRI scans, I may not have ever been properly diagnosed nor reached successful treatment. If you are experiencing these symptoms I truly understand the pain and the effect on ones relationship with spouse/significant other. It took me almost a year to find the cause and have the Inguinal Hernias corrected via hernia mesh surgeries and my hope is this posting will help others whom may be dealing with a similar pain caused by an Inguinal Hernia.
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