What is the reason for men's testicle pain? Considering the possibility of orchitis, this uncomfortable symptom will cause testicular swelling and pain. Guidance: It is recommended that you go to a regular hospital for a color Doppler ultrasound examination, which can clearly diagnose the cause. If it is a bacterial infection, according to the examination results, according to the doctor's advice, timely symptomatic treatment is required. If melanin grows rapidly, it can easily become melanoma. Therefore, it is necessary to observe the growth rate of sputum and adopt a treatment method. 1. Orchitis It is a common cause of testicular swelling and pain. Inflammatory stimulation causes testicular pain, and orchitis can damage testicular function and reduce spermatogenesis. If not treated in time, it can cause male infertility. 2. Epididymitis The epididymis is adjacent to the testicles. Inflammation caused by infection of the epididymis can also spread to the testicles, irritating the testicles and causing testicular pain. Epididymitis can also affect spermatogenesis and even lead to male infertility. 3. Scrotal inflammation The scrotum contains the testicles, epididymis and vas deferens. If scrotitis is not treated in time, it may affect the testicles and epididymis, causing testicular pain. 4. Others There are other diseases that may cause testicular pain in men, such as epididymal or testicular tuberculosis, varicocele, spermatic cord inflammation, chronic prostatitis, testicular tumor, seminal vesiculitis, male endocrine disorders, etc., all of which may cause testicular pain. 5. Iatrogenic factors Injuries caused by transurethral instrumentation, indwelling urinary catheters and other complications of reproductive tract infections can lead to orchitis, epididymitis, prostatitis, etc., resulting in testicular pain. Clinical manifestations Symptoms of testicular swelling and pain are different for different reasons: testicular pain caused by infection is more severe, accompanied by systemic symptoms such as chills and high fever, and the scrotum on the affected side is red and swollen, and tender. Epididymal or testicular tuberculosis infection is often secondary to tuberculosis in other parts of the body, and is manifested by dull testicular pain, a feeling of bloating in the lower abdomen, and scrotal swelling. In severe cases, abscesses may form, and there are uneven nodules on palpation, which are hard and often adhere to the scrotal skin. Testicular injury is generally caused by trauma. Vigorous exercise, sexual intercourse, or violence can cause a strong contraction of the levator testis muscle, causing the testicle to twist and cause severe pain. Check Clinically, for patients who complain of testicular swelling and pain, we should first understand the medical history in detail and have a specialist physical examination; conduct routine blood and urine tests and other laboratory tests; scrotal and urinary system ultrasound and CT examinations, etc., to clarify the cause of testicular swelling and pain and provide a basis for treatment. 1. Routine blood examination shows an increase in white blood cells and neutrophils; 2. Urine examination may reveal hematuria and white blood cells under microscope; 3. Pathogenic bacteria can be detected in urine during the acute phase and bacterial culture can be performed if necessary. Diagnosis The diagnosis is based on history, clinical findings, and examination. Differential diagnosis 1. Chronic testicular pain The course of the disease is long, the pain is mild, generalized, and radiating, and it is difficult to determine the exact location of the inflammation. The degree of pain is not necessarily proportional to the severity of the inflammation. Some people are highly sensitive to pain, and mild inflammation can cause severe pain; some pain occurs after sexual intercourse, which may be caused by high congestion of the genitals and gonads due to sexual excitement. Some pain is caused by varicocele or pain radiating from other parts of the body, such as radiating testicular pain caused by ureteral stones. The real cause needs to be carefully identified in order to effectively treat the symptoms. |
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