He denied having any trauma or sexual interactions prior to the onset of his pain. In the hospital, a physical exam was positive only for diffuse scrotal tenderness that was the most intense at his epididymides (the body’s storage facilities for mature sperm).
I’m sure anyone who’s ever seen a medical drama on TV knows that every patient lies. We all do. Well, at least some of us do. A 2010 survey of patients found that 28% admitted to lying or omitting information from their doctors (and the other 72% were probably lying about not lying).
History has ignored a medical condition that’s been sitting in our laps practically forever.
This patient’s omission was an extremely common one. It finally came out (hah!) that he’d had several of these episodes prior to his emergency room visit, each of which was after brief episodes of kissing and heavy petting with his first girlfriend. He was left with these terrible testicular pangs.
Fortunately, there’s a happy ending to our poor teen’s journey. A follow-up phone call found that his episodes of ball pain went away when the boy’s first relationship intensified to the level of sexual intercourse. Or, as we physicians call it, “doing the nasty.”