do i need 2nd opinion?

i am a 35 year old man. i have avoided going to the doctor for 10-15 years, until recently. june2010 i decided im not getting younger and im not immortal.

10 years or so ago, i went to clinic to check about pain/mass in scrotum. the very brief physical exam resulted in the doctor claiming i have an inguinal(sp) hernia. he said he can see the hernia visually and gave me the impression that this was an easy diagnosis. he mentioned that typical treatment is simple surgery. he also mentioned many men elect to just deal with the discomfort/pain. being a foolish 20something year old with no insurance, i chose the latter.

recently, in june 2010 when i went to get physical i neglected to mention my previous diagnosis (for fear of insurance not covering previous condition) and mentioned pain/discomfort in scrotum and even up into abdominal area. i was thinking he would find same problem ive left unattended for a decade.............his physical examination of scrotum/testicles/abdomen resulted in nothing. where'd the hernia go? is it possible it healed? and if so, is it possible it has healed incorrectly?

in attempt to locate source of abdominal pain, i was sent for CT-scan, results were normal. then i was referred to gastroentologist. they performed a colonoscopy (go-lytely my foot!). reults were only an internal hemmorroid that i was told is common and nothing to be alarmed about, and also that would not cause pain.

next was follow-up with my general care doctor. i mentioned this time that i have felt a small mass around testicle. and sometimes it is multiple like a cluster and sometimes its not detectable at all. again his physical examination resulted nothing. he scheduled ultra-sound.

ultra-sound results- benign cyst on left side. my doctors assistant that called today said that, that also is common and that typically no treatment is required. i mentioned i still have pain/discomfort. she spoke with my doctor and called back to say he referred me to urologist.

the tricky part of this issue is, i have not mentioned the erectile dysfunction that i assume is related to my abdominal/scrotal issues.

i plan on explaining in full to urologist when i go.
but i wouldnt mind some advice on this issue that i have let grow complicated due to foolishness and reluctance.

my erectile dysfunction problem hasnt been the same since my first diagnosis 10 years ago. at age 25 i had no signs of dysfunction, other than not lasting as long as i might have liked. but i consider that sort of common at that age. at age 25 i was able to achieve, and maintain an erection until orgasm. recent years, i can achieve erection easily, but am unable to maintain for very long. erection will fade after short time, and return after short time, and after much effort i am able to sustain enough to ejaculate.

as far as the pain i have, it does occur during sexual acitivity and also occurs at random times when working or just hanging around.
the pain is always the same. i can only describe it as the pain a man feels when he has been hit in the scrotum. but not intense. usually is a dull deep pain that i can feel in scrotum. and the pain seem to linger up into abdomen, like it will do when a man is hit in the scrotum. sometimes it is a sharper pain rather than dull. it never lasts very long and i cant seem to see a pattern that would trigger such pain.

thanks in advance for your help.