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18 Possible Causes for Painful Ejaculation, Thickening of Spermatic Cord

  • Seminal Vesiculitis

    Six patients with postoperative painful ejaculation were treated successfully with oral antibiotics and α-blockers.[] .  Diffuse thickening of the spermatic cord in a patient with chronic epididymitis.[] ejaculation (odynorgasmia) seminal hyperviscosity decreased ejaculate volume hematospermia infertility pain pelvic flank abdominal groin abdominal swelling hematuria pneumaturia[]

  • Acute Epididymitis

    […] of the groin, fever, discharge from the penis, painful ejaculation, and blood in the urine.[] The spermatic cord is thickened by edema; a reactive hydrocele secondary to the inflammation may develop within a few days.[] In Epididymitis abdominal pain and pelvic discomforts are also quite common. Painful Ejaculation Victims of this disease also suffer from pain during ejaculation.[]

  • Funiculitis

    Pain pain while urinating or ejaculating. Pain in the pelvic region or lower abdomen. Treatment Self-care: Practice safe sex to avoid transmitting STIs.[] After intravenous contrast (Fig.2) the thickened spermatic cord and epididymis showed tubular enhancement.[] Pain increases exponentially after erection and ejaculations. 6. No irritation while urinating and ejaculations. 7.[]

  • Epididymitis

    Urination becomes painful with an increased urge to urinate frequently Painful ejaculation and intercourse Presence of blood in semen Pain in the lower abdominal region Development[] Often reveals thickening of the spermatic cord and increase the diameter of the vas deferens.[] […] of the spermatic cord during treatment of epididymitis [ 20 ].[]

  • Prostatic Cyst

    ), painful ejaculation (24%), hemospermia (24%) and infertility (12%).[] Physical examination revealed thickened spermatic cords, suggesting a possible obstruction of the vasa deferens. A small varicocele was noticed on both sides.[] If symptoms do occur, patients may experience: Urgent need to urinate Blood in urine or semen Difficulty stopping or starting the flow of urination Painful ejaculation Pain[]

  • Cyst of the Seminal Vesicles

    Painful ejaculation. BJU Int. 2007 Jun;99(6):1335-9. Epub 2007 Apr 6. 12) Nadler RB, Rubenstein JN.[] cord stage surgical T2-weighted images testicular testis thickening tissue tumor extension tunica albuginea ultrasound urethra urinary bladder uterine uterus vagina vessels[] Most patients with this anomaly are asymptomatic or present during early adulthood with non-specific symptoms such as prostatism, urinary urgency, dysuria, painful ejaculation[]

  • Orchitis and Epididymitis

    You may also have: tenderness in the scrotum painful urination painful ejaculation a swollen scrotum blood in the semen abnormal discharge an enlarged prostate swollen lymph[] […] inflamed spermatic cord Inflammation: Epididymitis and orchitis with scrotal edema and a swollen left testis and epididymis in a 7 year old boy Inflammation: Epididymitis[] •TENDERNESS IN THE SCROTUM •PAINFUL URINATION •PAINFUL EJACULATION •A SWOLLEN SCROTUM •BLOOD IN THE SEMEN •ABNORMAL DISCHARGE •AN ENLARGED PROSTATE •SWOLLEN LYMPH NODES IN[]

  • Scrotal Abscess

    , during intercourse, or with ejaculation.[] A thickened, tender spermatic cord suggests a testicular torsion (spermatic cord torsion) while tenderness alone may indicate epididymitis.[] Diffuse thickening of the spermatic cord in a patient with chronic epididymitis.[]

  • Bulbourethral Gland Abscess

    Symptoms include difficulty urinating and low back pain or pain with ejaculation, although symptoms may be absent, especially in early stages.[] US may show nonspecific thickening and hyperemia of the spermatic cord in the inguinal canal.[] The revealing symptom is hematospermia with pain during ejaculation (7). The epididymis The epididymis is the organ of evacuation and maturation of the spermatozoa.[]

  • Testicular Abscess

    , during intercourse, or with ejaculation.[] US may show nonspecific thickening and hyperemia of the spermatic cord in the inguinal canal.[] It could be an epididymal cyst on the right side causing the pain.[]

Further symptoms