What is the reason for the dull pain in the right testicle?

In daily life, testicular pain is a common condition for many men. There are many reasons for the dull pain in the right testicle. Generally, this may be a manifestation of a disease. Suffering from epididymitis or prostatitis can easily cause testicular pain. You can pay more attention to observation and physical hygiene.

What is the cause of dull pain in the right testicle?

The dull pain in the right testicle is considered to be a symptom of epididymitis and is related to masturbation.

What is epididymitis

There are two testicles in the male scrotum, and in addition to the testicles, there are two epididymis. The epididymis is a pair of thin, flat organs, which are attached to the lower end of the spermatic cord together with the testicles. The epididymis grows close to the testicles and is divided into three parts: the head, the body, and the tail. The head is connected to the testicles, and the tail is connected to the vas deferens. The epididymis is the only way for sperm to move, and it is also the "cradle" for sperm development and maturation.

What is epididymitis? Epididymitis is a common reproductive system disease in men of childbearing age. When the body's resistance is low, pathogenic bacteria such as E. coli, Staphylococcus, and Streptococcus will enter the vas deferens and retrogradely invade the epididymis, causing inflammation.

Epididymitis patients often develop posterior urethritis, prostatitis, and seminal vesiculitis. Generally, epididymitis patients will have nodules at the head or tail of the epididymis, and most of them occur at the tail. The symptoms of epididymitis mainly include testicular swelling, pain, enlargement, worm-like varicose blood vessels, nodules, scrotal dampness, and thin yellow semen.

Causes of Epididymitis

What are the causes of epididymitis? Pathogenic bacteria retrogradely enter the epididymis, urine reflux, surgical infection, and mumps can all cause epididymitis.

1. Pathogenic bacteria retrogradely enter the epididymis. The most common pathogenic bacteria of epididymitis are Escherichia coli, and Chlamydia trachomatis can also cause acute epididymitis. Pathogenic bacteria often retrogradely enter the epididymis through the vas deferens.

2. Urine reflux. Urine can reflux into the seminal vesicles. Sterile urine reflux can cause urine to enter the ejaculatory duct, leading to chemical epididymitis, and can also be secondary to prostatitis or urinary tract infection.

3. Surgical infection. After prostatectomy, urine may carry bacteria for 8-12 weeks. During urination, urine may flow back into the ejaculatory duct, causing retrograde infection and leading to epididymitis. The infection may also invade the epididymis through the surrounding lymphatic vessels.

4. Mumps. About 20% of mumps patients have concurrent orchitis and epididymitis.

Symptoms of Epididymitis

Epididymitis is clinically divided into acute and chronic types. The symptoms of epididymitis vary depending on the cause.

1. Symptoms of acute epididymitis

The symptoms of acute epididymitis are not very obvious and can be easily ignored. Generally speaking, patients with acute epididymitis will suddenly have a high fever, and blood tests will show an increase in white blood cell count; the scrotum on the affected side will be swollen and painful, the epididymis will be enlarged, there will be a feeling of heaviness, and there will be obvious tenderness; there will be pulling pain in the lower abdomen and groin. When the inflammation affects a larger area, both the epididymis and testicles will swell, and the boundary between the two will be unclear, which is called epididymo-orchitis. The spermatic cord on the affected side will be thickened and tender. Under normal circumstances, the acute symptoms will gradually subside after a week.

2. Symptoms of chronic epididymitis

(1) Scrotal pain. Scrotal pain is a typical manifestation of chronic epididymitis, often manifested as long-term or intermittent pain in the affected side of the scrotum. The pain is usually dull and there is a feeling of distension.

(2) Lower abdominal pain. The pain caused by chronic epididymitis can radiate to the lower abdomen and the ipsilateral groin. Patients may experience pain in the groin or lower abdomen.

(3) Thickening of the vas deferens. This is usually manifested as thickening of the vas deferens on the same side.

(4) Hydrocele. Not all patients have this symptom; it is often secondary.

(5) The epididymis becomes larger and harder.

(6) There is tenderness in the epididymis.