How Can I Manage Testicular Pain and Swelling?

Testis pain is more common in orchitis and testicular injury. Orchitis is mostly caused by pathogen infection. In addition to hematogenous infections, more common bacteria retrograde to the epididymis and testes through the urethra, causing epididymitis and orchitis. Swelling and pain in the epididymis and testis can be seen clinically. Testicular injuries usually have a history of trauma and local swelling and bruising. Vigorous exercise or sexual intercourse or violence can sometimes cause strong contractions of the cremaster muscle, thereby twisting the testicles that are too long and causing severe testicular pain. In chronic pain, the condition can be prolonged. The pain is usually mild, generalized, and may have radiation pain.

Basic Information

English name

testis pain

Visiting department

Andrology

Common locations

testis

Common causes

Inflammation, torsion, injury, ischemia, etc.

Common symptoms

Epididymis, testicular swelling and pain

Causes of testicular pain and common diseases

Inflammation

Orchitis is a common cause of testicular pain. There are many causes of orchitis. For example, patients with mumps may be complicated by orchitis and testicular pain and swelling; gonorrhea is a sexually transmitted disease with a high incidence at present. In severe cases, it can cause orchitis and testicular pain. Swelling; Chronic prostatitis can also cause testicular pain, manifested as unilateral pain, mostly dull pain or traction pain, which is persistent. Prostate fluid microscopy shows a large number of white blood cells, most of the patients are young adults, rare in the elderly.

2. reverse

Testicular torsion is one of the common emergencies in the scrotum. It can occur from the newborn to the 70-year-old, 65% of whom occur in the age of 12 to 19 years old, and usually have severe activities in the hours before the onset of the disease, or the testes have been subjected to external forces. Sudden severe testicular pain during sleep or quiet is the first symptom of this disease, and it is also one of its main diagnostic basis. Some cases were accompanied by nausea and vomiting, scrotal swelling, and tenderness.

3. damage

The testicles are more mobile in the scrotum, and are protected by a tough white membrane, which reduces the chance of closed injuries. Testicular injuries are mostly related to violence and car accidents. After the injury, severe testicular pain with nausea, vomiting, and even fainting or shock. During physical examination, testicular swelling, unclear contours or scrotal stasis, obvious tenderness, B ultrasound and CT not only help the diagnosis of the disease, but also can clarify the location and scope of testicular damage.

4. Ischemia

Testicular ischemic pain is more common in the elderly, and the pain is more severe, worsening during activity, and relieved at rest. Prostate fluid microscopy is normal, often due to testicular arteriosclerosis and arterial stenosis. Testicular atherosclerosis is often a local manifestation of systemic vascular lesions, mostly unilateral lesions, more common on the left than on the right.

Differential diagnosis of testicular pain

Symptoms of testicular pain caused by different causes are different.

Cause by infection

The patient's testicle pain was severe, even with a knife-like cut, and accompanied by systemic symptoms such as fever and chills. At this time, the scrotum was red and swollen, and the pain was more obvious when touching the testicle.

(1) Tuberculosis infection: Most are accompanied by a history of tuberculosis of the urinary system or other parts, manifested as faint pain in the testicles, a feeling of bulging in the lower abdomen and swelling of the scrotum, and pus will flow in severe cases. When these lesions are touched by hand, there are uneven nodules, which are hard and often adhere to the scrotal skin.

(2) Prostatitis: The testicular pain caused by the perineum is often accompanied by uncomfortable sensation of bulging in the perineum. Frequent urination, urgency, dysuria, and difficulty urinating.

2. Non-infectious

Chronic testicular pain may also be caused by varicocele or radiate from pain in other areas.

Testicular pain test

Physical examination

2. B-ultrasound and CT imaging examination.

3. Examination of blood and prostate fluid.

Testicular pain treatment principles

On the basis of determining its cause, the cause can be treated; if the cause cannot be found for a while, symptomatic treatment of sedation and analgesia can be done. If necessary, closed local treatment with procaine can be used.

General treatment

Bed rest, local hot compresses and raising the scrotum, doing anal levitation, etc., to strengthen physical exercise appropriately.

2. Drug treatment

Antibiotics are not effective against viral orchitis, but they can prevent secondary infections. Patients with bacterial orchitis can take fluflumic acid or telitor, or intravenous penicillin. Penicillin allergic patients can use intravenous injection of citrofloxacin lactate, or intramuscular injection of gentamicin.