My balls hurt a little, what's going on?

"Dan Dan" is the common name for the male testicles, which are very important organs in the male reproductive system. Testicular pain is not only very uncomfortable, but also a manifestation of a disease. It is impossible not to panic when there is an abnormality in this place. However, it is difficult to judge based on only one symptom. It must be combined with other abnormalities in the body. We can understand the common factors. So, what is the matter with the pain in the testicles? Let's take a look below.

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.

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. Chronic prostatitis can also cause testicular pain, which manifests as unilateral pain, mostly dull pain or pulling pain, which is persistent. Microscopic examination of prostatic fluid can reveal a large number of white blood cells. Most patients are young and strong, and it is rare in the elderly.

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. Some cases are accompanied by nausea and vomiting, scrotal swelling, and obvious tenderness.

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 relatively small. Testicular injuries are mostly related to violence, car accidents, etc. After injury, the testicles are severely painful with nausea, vomiting, and even fainting or shock. During physical examination, there are swollen testicles, unclear contours, or scrotal congestion, and obvious tenderness. B-ultrasound and CT are not only helpful for the diagnosis of this disease, but also can clarify the location and range of testicular injury.

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. Testicular artery atherosclerosis is often a local manifestation of systemic vascular disease, mostly unilateral lesions, more common on the left side than on the right side.