Medical Questions > Mens Health > Mens Conditions Forum

"impulse bulge medial to spermatic cord" information?

Hello,

I've been dealing with hernia-like symptoms and would like some further information. 33y/o male, reasonably fit, automotive mechanic.

-Aug 30th performed a job with heavy lifting/straining (30-150% heavier than my normal amount). I do not recall feeling any sudden pain at the time, but may have not noticed it.

-Woke up next morning with sore testicles. I thought I squished them while sleeping, and pain reduced over the next few days (while off work). When returned to work, pain returned as well, but thought I was just continuing to agitate the testicles while working. Mild to moderate testicle pain over the next 2 wks, went on vacation and pain went away. Pain returned when at work again.

-Oct 8th the pain got much worse. Saw Dr and learned that Hernias can cause testicle pain. Saw Urologist the next day who ruled out any testicle issues.

-Nov 14th had ultrasound which says "right inguinal region shows a mild impulse bulge medial to the spermatic cord (direct type area) but not large enough to definitively constitute a hernia at this time".

From my symptoms, I am assuming I tore a little Aug 30 while straining hard and then tore worse Oct 8th. I also sneezed early Feb and (I assume) felt my intestines push through the tear, and then slowly return over several seconds.

So my questions are:
-is it normal to have no immediate symptoms (testicle pain the next day instead)?
-is this a fairly typical progression of symptoms?
-is it normal for it to only show a "bulge" while at ultrasound, but then a full hernia that retracts when straining elsewhere? I do have strong core muscles if that makes a difference

Thank you very much for any information.
Did you find this post helpful?
|

User Profile
replied March 2nd, 2015
Welcome to e health forum.

1. Yes, if the injury is mild, the symptoms can usually present later on, when the injury increases.

2. Yes, this is a typical presentation, which is seen in many patients with possible testicular injury.

3. Your condition may not be a actual hernia. Possible conditions include epidydimitis or cyst of vas deferans.

You will need to work with your doctor or a urologist for proper diagnosis and treatment.
|
Did you find this post helpful?

replied March 3rd, 2015
Thank you for the reply Doctor Anvekar.
|
Did you find this post helpful?
Quick Reply
Must Read
Millions of men experience prostate problems every year. But what defines prostate enlargement and how does the prostate grow as it enlarges?...
What puts a man at risk of having an enlarged prostate? And what causes the prostate to grow in the first place? Answer your questions here....
An enlarged prostate rarely occur before a man is 40. Learn the signs and symptoms BEFORE they occur. And know when to seek help for bothersome symptoms....
DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Mens Conditions , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.