Right scrotal swelling and pain

Men's physical health is also the most important, but men often have various diseases, such as reproductive organ diseases, so special attention is needed. Prevention of reproductive organ diseases usually manifests itself during sexual life, especially paying attention to the body to avoid infection with bacteria or viruses. What is the reason for right scrotal swelling and pain?

1. What is testicular pain?

Testicular pain is common in orchitis and testicular injury. Orchitis is mostly caused by pathogen infection. In addition to bloodstream infection, it is more common for bacteria to retrograde through the urethra to the epididymis and testicles, causing epididymitis and orchitis. Clinically, epididymis and testicular swelling and pain can be seen. Testicular injury usually has a history of trauma and local swelling and bruising. Vigorous exercise or sexual intercourse and violence can sometimes cause strong contraction of the levator testis, causing the testicles with excessively long frenulum to twist and cause severe testicular pain. In chronic pain, the condition can last for a long time. The pain is usually mild and generalized, and can have radiating pain.

2. Causes and common diseases

1. Inflammation

Orchitis is a common cause of testicular pain. There are many causes of orchitis. For example, patients with mumps may suffer from orchitis, testicular pain and swelling. Gonorrhea is a sexually transmitted disease with a high incidence rate. In severe cases, it can cause orchitis, testicular pain and swelling.

2. Twist

Testicular torsion is one of the common acute diseases in the scrotum. It can occur in newborns to 70-year-olds, with 65% occurring between 12 and 19 years old. Generally, there is vigorous activity a few hours before the onset of the disease, or the testicles have been subjected to external force. Sudden severe testicular pain during sleep or rest is the first symptom of this disease and is also one of the main diagnostic bases.

3. Damage

The testicles are more mobile in the scrotum and are protected by a tough white membrane, so the chance of closure injury is low. Testicular injuries are mostly related to violence, car accidents, etc. After injury, the testicles will experience severe pain accompanied by nausea, vomiting, and even fainting or shock.

4. Ischemia

Testicular ischemic pain is more common in the elderly. The pain is more severe, aggravated by activity, and relieved by rest. Prostatic fluid microscopy is normal, often due to sclerosis of the testicular artery leading to arterial stenosis.

3. Treatment Principles

Etiological treatment can be carried out on the basis of determining the cause; if the cause cannot be found for the time being, symptomatic treatment such as sedation and analgesia can be carried out. If necessary, local treatment such as spermatic cord procaine closure can be used.

1. General treatment

Rest in bed, apply local hot compress, elevate the scrotum, do anal lifting, etc., and increase physical exercise appropriately.

2. Drug treatment

Antibiotics are ineffective against viral orchitis, but they can prevent secondary infection. Patients with bacterial orchitis can take fluphenazine or tadalafil orally, or intravenous penicillin. Those who are allergic to penicillin can use intravenous cyclofloxacin lactate injection or intramuscular injection of gentamicin.