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Why do I have constant testicular pain?

Q: I am a 33 years old man suffering from mild testicular pain for the last 7 years and have problem of frequent urination too. But I do not get up at night to urinate, nor do I feel any pain or burning sensation while urinating. There is no swelling in scrotum. I have done urine test and Doppler ultrasound and orchitis, epididymitis and varicocoele have been ruled out. The doctor told me that there are some unknown reasons for orchialgia and I may have to live with this mild pain for the rest of my life. Can it be cured?

A:You suffer from mild orchialgia and urinary urgency without pain or burning of long duration, while all your tests are apparently normal. The causes could be nonbacterial chronic prostatitis or chronic pelvic pain syndrome (CPPS), which has to be treated symptomatically. Other cause could be an overactive bladder (OAB), which results in urinary urgency and frequency, and may be treated with bladder anticholinergic medications. Your urologist would be able to advise medications to help you.

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