[21M] With testicular and penile pain post-PRP application

Patient Description

A 21-year-old male presents with testicular aches, swollen pelvic lymph nodes, penile shaft stinging, and emotional difficulties during winter. The patient reports very noticeable veins around the affected area and two lumps at the base of the penile shaft following an at-home PRP application performed approximately a year and a half ago. Additionally, the patient experiences perceived penile shrinkage and difficulties maintaining an erection. The testicular pain, described as random and located towards the sides and back, occurs multiple times a day, lasting about 10 minutes per episode. The pain is exacerbated by sitting in a car for extended periods, smoking, and sometimes during erections or manipulation of the area. The patient also reports fluctuating testicular size and recent constipation with harder stools. The patient has been sick three times in the past month and a half, with illnesses resembling viral strep, norovirus, and a cold. There is no known history of recent injuries or trauma to the groin area, aside from the use of penis pumps and manual stretching.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause pain and swelling in the groin area, and the lumps you feel could be related to this. The pain you experience when sitting or during certain activities might also be related to a hernia. Treatment typically involves surgical repair.

  2. Epididymitis or Orchitis: These are conditions involving inflammation of the testicles or the epididymis (a tube at the back of the testicles). They can cause testicular pain and swelling, and sometimes are associated with infections. Treatment often includes antibiotics if an infection is present.

  3. Prostatitis: This is inflammation of the prostate gland, which can cause pelvic pain, difficulty urinating, and sometimes pain in the testicles or penis. It can be caused by bacterial infections or other factors. Treatment may involve antibiotics, anti-inflammatory medications, or other therapies.

  4. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It can cause a dull, aching pain and may affect testicular size or function. Treatment may include surgical procedures or other interventions.

  5. Sexually Transmitted Infections (STIs): Some STIs, like chlamydia or gonorrhea, can cause symptoms such as penile pain, testicular pain, and swollen lymph nodes. It's important to consider this possibility, especially if there's been any recent sexual activity. Testing and appropriate antibiotic treatment are essential.

What you can do

Testicular and Penile Pain:

  • Avoid activities that exacerbate the pain, such as prolonged sitting or using enhancement devices.
  • Wear supportive underwear to reduce discomfort.
  • Consider over-the-counter pain relief, such as ibuprofen, to manage pain, but consult a healthcare professional before starting any medication.

Swollen Lymph Nodes and Abdominal Pain:

  • Monitor the size and tenderness of the lymph nodes. If they continue to enlarge or become more painful, seek medical attention.
  • Maintain a healthy diet rich in fiber to help with constipation and abdominal discomfort.
  • Stay hydrated and engage in regular physical activity to promote bowel regularity.

Emotional Difficulties and Frequent Illnesses:

  • Practice stress-reducing activities such as mindfulness, meditation, or yoga to help manage anxiety and emotional challenges.
  • Ensure adequate rest and a balanced diet to support your immune system.
  • Consider speaking with a mental health professional to address anxiety and emotional difficulties.

General Health:

  • Use MDandMe to journal your symptoms, track progress, and gain insights into your health patterns. This information can be valuable when discussing your condition with a healthcare provider.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe or worsening pain in the testicles, groin, or abdomen
  • Fever or signs of infection, such as redness or warmth in the affected area
  • Changes in urination, such as difficulty starting or stopping, or pain during urination
  • Any new or concerning symptoms

Remember, while this advice can provide guidance, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask!

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People Also Ask


What could be causing the testicular pain and swelling?

Testicular pain and swelling can be caused by conditions such as epididymitis, orchitis, inguinal hernia, or varicocele. It's important to consult a healthcare professional for a proper diagnosis and treatment plan.


How can I manage the emotional difficulties I experience during winter?

Emotional difficulties during winter could be related to Seasonal Affective Disorder (SAD). Managing these symptoms can involve light therapy, regular exercise, maintaining a healthy diet, and possibly consulting a mental health professional for support.


What are the potential risks of using at-home PRP applications and enhancement devices?

At-home PRP applications and enhancement devices can pose risks such as infection, tissue damage, or unintended side effects like lumps or changes in appearance. It's advisable to seek professional medical advice before using such treatments.


How can I address the issue of perceived penile shrinkage and erectile difficulties?

Perceived penile shrinkage and erectile difficulties can be addressed by consulting a healthcare provider to rule out underlying conditions. Lifestyle changes, such as reducing stress, avoiding smoking, and maintaining a healthy diet, can also help. In some cases, medical treatments or counseling may be recommended.


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