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Chronic Neuropathic Anterior Thigh Pain Following Testicular Trauma with Nocturia
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Nervous System Disorders
Question #19940
2 hours ago
12

Chronic Neuropathic Anterior Thigh Pain Following Testicular Trauma with Nocturia - #19940

Adem

I am a male patient, weight 68 kg. I have been suffering from chronic pain for about two years, which started after a direct trauma and strong compression to the left testicle during a physical altercation. Initially, the pain was localized to the left testicle, and blood appeared in the semen once only after the injury. After about one year, the pain shifted to the anterior thigh only (no lower back pain). The pain has neuropathic characteristics, including: Tingling Burning or electric-shock–like sensations It worsens with prolonged sitting or certain lying positions and improves significantly with warm showers or heat. After taking medications such as Etnoplex, Inibrex, and Eximal, the pain intensity decreased, but I started experiencing nerve irritation and electric sensations at the pain site. Additional symptoms include: Nocturia: waking up approximately every 4 hours at night to urinate, with real urine output and no burning sensation. Persistent clumps in semen for several months. Investigations: Testicular ultrasound showed normal testes and good blood flow. No known lower back or kidney pathology. Request: Evaluation of chronic neuropathic pain of the anterior thigh following testicular trauma, consideration of appropriate neuropathic pain treatment, and assessment of nocturia.

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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
2 hours ago
5

Your presentation is most consistent with chronic post-traumatic peripheral neuropathy involving the ilioinguinal/genitofemoral nerve, with referred pain to the anterior thigh. This is a recognized but underdiagnosed condition, and it is treatable, though recovery can be gradual. The nocturia is likely functional or neurogenic rather than urologic disease. With proper neuropathic pain management and targeted evaluation, significant improvement is achievable.

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