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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Involuntary Movements In The Scrotum?

I have been feeling some worm like movements in my scrotum for the past 24 years. As a young man, I used to masturbate a lot and it was after one such session that I started feeling disorders in my scrotum till it developed to these movements. When the movements are on I actually see the scrotum sack move as well and if I put my finger under the scrotum I actually feel the movements like one is hold some worms in his hand which are sort of “struggling to escape”, that kind of feeling.

Over the years I have been consulting General Practitioners who would tell me that my condition was normal and there was really nothing to worry about. However some would prescribe me amitriptyline for a couple of months, but this never really helped by situation. Now over the years I have developed a very bad odour coming from my genitals which I suspect could be linked to this problem. I have often thought perhaps the scrotum skin is so “worn out” (though it does not look so) that it now stinks. Now I worry more about the odour than the movements as they are not painful as such. The odour makes it quite difficult for me to freely mix with people and this is worse in my professional circles.

Just last year I went to consult a urological surgeon who advised me that I had varicoselectomy that is why I feel the wormlike movements. He said to correct that I needed to undergo a minor operation which I did, but to no avail. I have also consulted a dermatologist about the odour, but so far the prescriptions I got from him have not really helped my situation either. I need your assistance please!

posted on Thu, 13 Mar 2014
Twitter Mon, 11 Apr 2016 Answered on
Twitter Tue, 12 Apr 2016 Last reviewed on
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query the reply of your query is-
YOur current health issues seem to be related to your Failed Varicocele Surgery.
I would suggest you to Consult Second Urologist who would get the Second USG of the Varicocele and get testosterone levels,which seem to be normal still.
The bad odour from your scrotum seems to be from soddening and puetrifaction of the sweat in private parts.
Changing Ugies to pure Cotton and loose ugies,
Use of sweat reducing sprays,
Cleaning and proper maintenance of private parts with Dettol sponging x 2 times a day would reduce the bad odour.
Re-do-Varicocelectomy with Micro-Vascular ligation of the refluxing and incompetent Veins to reduce the Venous Regurge would reduce Varicocele problem with you.

Your Second Urologist- doctor would be doing all that is needed to treat your current health issues.
At the most You can think of Second opinion with Urologist and redo-Surgery and followup is needed to check if you are on right lines.

Constant followup with Second Urologist for long term would give you long remissions in time to come,which would depend on meticulous followup treatment of your health concerns.

Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.

For early recovery-please follow above do's which would resolve your complex health issues.

Hope this would help you to treat your health issues in the best way possible.

Welcome for any further query in this regard to following link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Wishing Good Healthy Life!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Involuntary Movements In The Scrotum?

Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- YOur current health issues seem to be related to your Failed Varicocele Surgery. I would suggest you to Consult Second Urologist who would get the Second USG of the Varicocele and get testosterone levels,which seem to be normal still. The bad odour from your scrotum seems to be from soddening and puetrifaction of the sweat in private parts. Changing Ugies to pure Cotton and loose ugies, Use of sweat reducing sprays, Cleaning and proper maintenance of private parts with Dettol sponging x 2 times a day would reduce the bad odour. Re-do-Varicocelectomy with Micro-Vascular ligation of the refluxing and incompetent Veins to reduce the Venous Regurge would reduce Varicocele problem with you. Your Second Urologist- doctor would be doing all that is needed to treat your current health issues. At the most You can think of Second opinion with Urologist and redo-Surgery and followup is needed to check if you are on right lines. Constant followup with Second Urologist for long term would give you long remissions in time to come,which would depend on meticulous followup treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS