Testicular pain (orchialgia) is a common complaint in CPPS. Causes of chronic orchialgia include infection (rule that out if you have had antibiotics), tumor (rare), testicular torsion, varicocele, hydrocele, spermatocele, trauma (e.g., a bicycle accident), previous surgical interventions, and referred pain due to lumbar disk or hip problems. Vasectomy has been reported to be a cause of chronic testicular pain. In many cases, the pain remains unexplained despite a very thorough diagnostic workup.
Treatment of chronic orchialgia is directed toward the underlying etiology, if possible. A hydrocele, varicocele, or spermatocele usually is not the cause of chronic orchialgia, but a coincidental finding. Traditionally, pain management for chronic orchialgia in urology clinics has consisted of a trial of antibiotics and NSAIDs to treat a possible occult inflammatory process. Medications used for other chronic pain syndromes such as antidepressants, anticonvulsants, membrane-stabilizing agents, opiates, and sympatholytic drugs and procedures are often effective for treatment of chronic orchialgia. Transcutaneous electrical nerve stimulation (TENS) might be helpful.
Hypervascularization of the prostate is normal in chronic prostatitis / chronic pelvic pain syndrome (study has shown).
If you've seen urologists unsuccessfully, start off now with any accredited quercetin product and/or Algonot, and more items mentioned in our protocol:
https://ucpps.men/prostatitis-tips-things-that-help-and-hurt