instruction: hi doctor I am a 35 year old male and have been experiencing a dull tight pain on the back of my testicles and in the spermatic cord sometimes it feels like a rough scraping inside my scrotum the pain is debilitating and I have had it for about six months now it started on the backside of my right testicle but now it has spread to the back of both testicles and I have pain going up from the scrotum I have had an ultrasound it scan mri taken antibiotics anti inflammatories and antidepressants and all tests are normal with a varicocele in the left but I still have pain when walking or sitting anytime something pushes into my scrotum when I stand still it is better and I cannot wear underwear or anything tight on my scrotum because of horrible pain also I have noticed that my testicles have started retracting up almost into my abdomen when having sex however I cannot have sex cause it hurts too much but this retracting is real tight and it has never happened before this year please help
output: hi your history and clinical symptoms are suggestive of epididymo orchitis of both tes you told that you have undergone a number of investigations it would have been convenient for me if you had uploaded the same anyway you need a clinical examination too so you need to visit the office of your local urologist for management of the same another possibility is nerve entrapment syndrome as you have undergone groin hernia surgery on the left side but the possibility is less as you have bilateral symptoms and you had undergone surgery on the left side but you have to wear tight inner garments as that is the prerequisite for the treatment of epididymo orchitis