Many male friends neglect to take a rest on time due to the high pressure of life, which makes the human body easily out of shape. There are many reasons for male testicular pain. Male testicular pain will affect the normal life and is more harmful to the human body. Patients should pay attention to more activities, not sitting for a long time, and avoid mental stress. So what causes testicular pain? Let's take a look. 1. What causes testicular pain? Testicular pain is a common symptom in men's medicine. It can be caused by trauma, inflammation, or lesions of the epididymis and spermatic cord in the scrotum. The nature of the pain includes bloating, throbbing pain, and knife-like pain; the degree of pain includes dull pain and severe pain. 2. Causes and common diseases of testicular pain 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. 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. |
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