Is radiating pain from abdomen to testicle sign of nutcracker syndrome?
Patient: Age: 33 Height: 69'' Weight: 180lbs Pain in left testicle fro apprx 2-3yrs.  Ultrasound showed no lump or tumor.  Vericocele was found to be cause for pain.  Received series of cord block injections and anti-inflammatory meds. Pain began to radiate from left lower abdomen and into the left testicle.  Ultrasound shows no hernia, however, physical exam led my current physician to believe I have a hernia.  I have recently read about "NutCracker Syndrome".  Is this a common issue, mis-diagnosis of this syndrome.  I ask because my urologist wants to go straight into shaving my spermatic cord...??? Doctor: Hi and welcome to HCM.   As an Urologist, i can understand your anxiety.Your symptoms aren't due to ' nut cracker ' syndrome.Your ultrasound scan shows a varicocele,which should be it's cause.Hernia is well seen on clinical examination and accurately on the scan.As it's not reported on the scan,forget it.If your pain is recurrent and you need analgesics,undergo varicocele surgery.That should give you good relief.Dr.Matthew J. Mangat.