Testicular pain experts are here.

Testicles are located in the scrotum, one on the left and one on the right. Testicular secretion of androgen plays an important role in the development and maturity of male reproductive organs and the emergence of male secondary sexual characteristics. Under normal circumstances, the testicles will not hurt, and the testicles will hurt, indicating that the testicles are sick and need to be examined and treated in time. The following orchitis is a common cause in testicular pain. There are many reasons for orchitis, such as mumps, which may be complicated with orchitis, testicular pain and swelling; Gonorrhea is the highest incidence of sexually transmitted diseases, which can cause orchitis in severe cases; Chronic prostatitis can also cause testicular pain, manifested as unilateral pain, mostly dull pain or traction pain, which is persistent. Most patients are young adults, and the elderly are rare.

Testicular torsion

Testicular torsion is one of the common scrotal emergencies. It can occur from newborn to 70 years old, and 65% occurs at 12 ~ 19 years old. Generally, there is strenuous activity a few hours before the onset, or the testicles are subjected to external forces. Sudden appearance of severe testicular pain during sleep or quiet is the first symptom of the disease, which is also one of the main diagnostic criteria. Some patients were accompanied by nausea and vomiting, scrotal swelling and obvious tenderness. It is generally believed that the testicular salvage rate can reach 80% within 6 hours, and only 20% after 24 hours. At this time, even if the testis can be preserved, the function of the affected testis is often damaged.

injury of testis

Testicular activity in scrotum is large, protected by tough white membrane, and the probability of closed injury is small. Testicular injury is mostly related to violence, car accidents and so on. After the injury, the testicles are severely painful, accompanied by nausea, vomiting and even syncope or shock. There was testicular swelling, unclear outline or scrotum congestion during physical examination, and the tenderness was obvious. B-ultrasound and CT are not only helpful for the diagnosis of the disease, but also can determine the location and scope of testicular injury. The treatment principle of testicular injury is firstly sedation, analgesia and anti-shock, and secondly to judge the degree of testicular injury, so as to take different treatment measures. Testicular ischemic pain

Testicular ischemic pain is more common in the elderly. The pain is severe, aggravated during exercise, and relieved at rest. The prostatic fluid is normal under microscope, which often leads to arterial stenosis due to testicular arteriosclerosis. Testicular atherosclerosis is often a local manifestation of systemic vascular disease, mostly unilateral, with more left side than right side.

Testicular self-examination

Compared with other cancers, testicular cancer is relatively rare, but if found early, it is one of the most treatable cancers. Therefore, it is best to carry out self-examination regularly in order to find abnormalities: when the scrotal skin becomes soft after taking a hot bath or shower, put the index finger and middle finger under the testicles and put the thumb on them to check each testicle. Or keep your thumb and other fingers in position and gently rotate each testicle forward, backward and sideways. If you find a new lump, any increase in scrotal sensitivity or skin changes, you should consult a doctor. This kind of self-examination will help you become more familiar with this part of your body, so that you can find any changes as soon as possible. If necessary, the doctor will recommend seeing a urologist for further examination.

Testicular pain or swelling related etiology.

cyst

Cysts can form in the scrotum, which can grow very big without any discomfort, but you should ask a doctor to check whether there is a tumor. Cysts can occur in men of any age, and the disease is most common in men over 40 years old.

Scrotal hydrocele

It means that clear and thin liquid accumulates between the inner and outer coverings of the testis, which can cause swelling. If the swelling is large or painful, it may be necessary to draw out the liquid with a needle under local anesthesia. If it recurs, minor surgery may be needed.

Internal testicular injury

Internal injuries of both testicles may be the cause of testicular swelling. This situation may require hospitalization and, if necessary, surgery.

testitis

Testitis often leads to one or both testicular swelling, so you should see a doctor. If confirmed, the doctor will prescribe painkillers to relieve the pain.

Testicular torsion

When the testicles are twisted, the patient will find a painful lump around one or two testicles, which may happen at any time and may be accompanied by nausea and vomiting.

Testicular pain or further diagnosis of swelling.

1. Suddenly found a painful tumor around one or two testicles.

(1) The genitals were damaged in the past 48 hours.

See a doctor immediately! Internal injuries of both testicles may be the cause of testicular swelling. Treatment: Hospitalization may be required, and surgery may be performed if necessary.

I recently suffered from mumps.

Testitis is a common cause of unilateral or bilateral testicular swelling and should be treated. Treatment: If the diagnosis is confirmed, the doctor will prescribe painkillers to relieve the pain.

⑶ The genitals were not damaged, and neither had mumps.

See a doctor immediately! Testicular torsion is possible. This can happen at any time, even during sleep, and may be accompanied by nausea and vomiting. Treatment: If the diagnosis is confirmed, surgical treatment can be considered after manual reduction is ineffective.

2. One testicle is swollen.

Hurry to the hospital! Cysts may form in the scrotum. Treatment: The doctor will give you relevant examination. If confirmed, a minor operation may be needed.

3. The scrotum is generally swollen and painless.

Scrotal water sac is a clear and thin liquid accumulated between the inner and outer covering layers of testis, which can cause swelling. Treatment: If the diagnosis is confirmed, swelling or pain, it may be necessary to draw fluid with a needle under local anesthesia. If it recurs, you may need a minor operation for treatment.