Need advice-testicular pain

Hi, I'm looking for some advice. About 5 years ago I was experiencing severe testicular pain, and the pain wouldn't ever go away, so I made the decision to have my testicle removed. They did a biopsy on it and it turned out to be cancer. It spread and I had to have chemotherapy. Now, for about the past 2 months, I have been having pain in my remaining testicle. I saw the same dr I did 5 years ago (a urologist) and he said it's probably not cancer, although he said the exact same thing last time and turned out it was. He thinks it might just be "chronic testicular pain." My question, should I opt to have another surgery and have my only testicle removed, just in case it is something serious again, or should I risk it and keep it and hope it's nothing? The dr said he would do the surgery if I wanted, but there's risks for both. I just don't know what to do. What would you do if you were faced with this decision???
Thank you

Is there any way they can check on it before they operate? What kind of treatment is available for chronic testicular pain? Anything?

I wouldn't ponder on this too long, either...if its testicular cancer--you need to catch it as soon as possible...

Could you check with another doc, or see what other things this doc thinks could be done?

Thank you for the reply Doc, they're unable to do a biopsy or anything like that because if it is cancer it could cause it to spread. About the only thing to do for chronic testicular pain is take pain medicine and that's it. I don't want to be on pain pills forever! I have gotten an ultrasound and a CT scan as well, which turned up nothing unusual. I think I may make another appt with another urologist just to see what he thinks I should do.

That definitely sounds like a good beginning course of action!

Best wishes, and keep us updated about it...

Some testicular pain just goes away on its own and you don't have to take pain pills or so on.

Tough choice I guess. What did the ultrasound and CT indicate with regards to the testicle and the presence of cancer?

Did you get your bladder and kidney checked via U/S?

The ultrasound showed that my epididymis was swollen, but as far as the testicle goes both the u/s and ct came back negative. They did check the bladder and kidney with the ct scan as well, and everything was normal in that aspect. I did talk with the dr today and he said he thinks the problem is isolated to my epididymis only and the chances of there being cancer there is less than 5%. So far I'm thinking I'll see another dr and see what he says, then go from there.

The epididymis can develop problems that produce significant pain. How it is treated will depend on the underlying cause (STD, bacterial infection, certain medications). It's important to have your doctor find out whether the problem is definitely in the epididymis and, if so, the underlying cause.