Varicocele and epididymal pain

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I have had epididymitis several times over the last 10 years, all bouts have cleared up with a few weeks of antibiotics (ciprofloxacin usually). I also have a varicocele in both testicles, however, up until recently these were completely painless.

In September 2020 I contracted epididymitis again, however this time I have just not been able to shake it. After 4 courses of antibiotics I still have some residual epididymal pain.

Additionally, starting in January 2021 I developed this almost constant ache in my stomach and testicles. The doctor seems to think this is being caused by my varicoceles. I had a scan in January which confirmed there was nothing else abnormal going on.

I have now been referred to urologist, so will see what they say.

I am aware that varicoceles are progressive, so the prospect of living the rest of my life with this dull ache is alarming to say to least. I've had to give up my favourite activities (cycling, weight training etc).

I would be interested to hear from anyone else who has suffered from chronic epididymal pain and/or consistent varicocele pain and (hopefully) about their journey to becoming pain free. Specifically, anyone who has had a operation to attempt to fix a varicocele (embolisation, surgical ligation etc) and whether or not it was successful.

I really hope I can get this sorted out and get my life back, at the moment I can't do much and it feels like I'm in storage.

Thanks a lot,


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    No one replied to this but just in case someone reads it in the future, I thought I'd post an update.

    I saw a urologist in London would made two opinions

    1. that I have 'Bell clapper deformity', which could suggest previous intermittent torsion and thus what would feel like intermittent epididymitis. He thought it very unlikely a man under 30 would have epididymitis not relating to an STD even once, so the fact I had it many times he thought almost impossible. Either way, he suggested an orchiopexy to fix the testicles as a preventative measure, as those with bell clapper are at a really high risk of testicular torsion
    2. Most likely he thought that the aching in the testicles and lower abdomen was coming from quite a large varicocele above my left testicle. He suggested a microscopic sub-inguinal varicocelectomy via the same incision he would make for the orchiopexy

    I had both procedures 4 days ago and am currently lying in bed recovering. He said both procedures went exactly as expected. I have weird bouts of pain that come and go in different regions of my testicles and abdomen but I expect this is the healing process. So far, I am cautiously optimistic as things are feeling alright, but I won't really know for another month (after full recovery and returning to normal activity).



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