What causes right spermatic cord pain?

Men should pay special attention to their reproductive health. If you find pain in the right spermatic cord, you should pay attention to whether it is caused by diseases such as epididymitis, epididymal tuberculosis, and spermatic corditis. After understanding the cause, we can treat it correctly.

(I) Epididymitis

There is often a history of urinary tract infection or prostatitis. Acute epididymitis is characterized by sudden discovery of a mass in the scrotum, which worsens when standing, accompanied by fever, chills, etc. Chronic epididymitis often has a history of acute epididymitis and chronic prostatitis, and is manifested by swelling and discomfort in the scrotum. Acute epididymitis is characterized by redness, swelling, and thickening of the scrotal skin, and an enlarged epididymis with obvious tenderness. In severe cases, there is thickening and tenderness of the spermatic cord. Chronic epididymitis is characterized by enlarged and hard epididymis, and thickening of the vas deferens.

(ii) Epididymal tuberculosis

The general manifestations are epididymal nodules and pain. Physical examination shows irregular nodules at the tail of the epididymis. After the tuberculous abscesses rupture, they adhere to the scrotal skin and even form sinuses. The vas deferens thickens and hardens, and appears like beads.

(III) Epididymal tumor

Only when the tumor is too large can it cause pain, but malignant tumors may start with pain. Examination shows that most tumors are located at the tail of the epididymis. Benign tumors have a smooth surface, clear boundaries, are round or oval, and are relatively small and elastic. Malignant tumors have an uneven surface, are nodular, have unclear boundaries, are tough, and may have thickened spermatic cords. They may metastasize to the retroperitoneal lymph nodes, kidneys, and lungs and cause corresponding symptoms.

(IV) Varicosis

There is often a history of lower urinary tract surgery, instrument examination or indwelling catheter. The prominent symptom is severe pain in the spermatic cord, which may radiate to the lower abdomen or waist. Examination of the spermatic cord shows thickening and tenderness on touch.

(V) Spermatic cord injury

There is a clear history of inguinal trauma or surgery. There may be spermatic cord contusion, vasectomy, and ligation or severance of the internal spermatic artery. Examination of the spermatic cord may reveal hematoma and tenderness.

(VI) Filarial spermatic corditis often has a history of living in a filarial disease-endemic area. In acute attacks, there is severe scrotal pain, or mild dull pain or bloating and discomfort in the waist.