Conversation: The conversation between human and AI assistant.
[|Human|] I am 33 and have had pain in my testicles up to my shaft for 2 months now to the point where I cant sit down for long, lay on the couch. It hurts after sex or masturbation also. Have had an ultra sound, std tests and urine tests and a pelvis and groin MRI. All they have found was a 2.4 cm cyst on my right testicle. But my urologist says its almost unheard of for a cyst that small to cause that much dullness and pain. What else could it be? And should I have it removed? What else needs to be ruled out before I decide if I should have it removed? Is there a high risk with this kind of surgery?
[|AI|]  HelloThanks for your query, based on the facts that you have posted it appears that you have spermatocyte over of a size of 2.4 cm on Rt testicle, .pain in testicle radiating up to shaft of the penis aggravated on masturbation. And sex. Spermatocele is a benign cyst that is painless and does not require to be removed by surgery. The pain that you have could be either due to inflammation of cord structures (Funicullitis) or Epididymitis. Please consult qualified Urologist for clinical examination and get following basic test to confirm the diagnosis.1) Ultrasound scanning of scrotum.2) Color Doppler study of scrotum.3) Urine routine and urine culture. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory Chat Doctor.