There are many causes of left testicular prolapse. It may be caused by orchitis, testicular torsion, or testicular injury. We should pay attention to the care of the left testicle, adjust our diet, and avoid sexual intercourse. We should choose the treatment method according to the cause of testicular prolapse, especially when orchitis exists. There are many causes of testicular prolapse Orchitis The testicles are located in the scrotum, one on each side. The testicles secrete male hormones, which play an important role in the development and maturation of male reproductive organs and the appearance of male secondary sexual characteristics. Under normal circumstances, the testicles will not be painful. Testicular pain indicates that the testicles are sick and need to be checked and treated in time. The following orchitis is a common cause of testicular pain. There are many causes of orchitis. For example, patients with mumps may have orchitis and testicular pain and swelling. Gonorrhea is the sexually transmitted disease with the highest incidence rate at present, and it can cause orchitis in severe cases. Chronic prostatitis can also cause testicular pain, which manifests as unilateral pain, mostly dull pain or pulling pain, which is persistent. Most patients are young and strong, and it is rare in the elderly. Testicular torsion Testicular torsion is one of the common acute diseases in the scrotum. It can occur in newborns to 70-year-olds, and 65% occur 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 quiet time is the first symptom of this disease and one of its main diagnostic bases. Some patients are accompanied by nausea and vomiting, scrotal swelling, and obvious tenderness. It is generally believed that the testicular rescue rate can reach 80% for those who treat testicular torsion within 6 hours, and the rescue rate is only 20% for those who treat it after 24 hours. At this time, even if the testicle can be preserved, the function of the affected testicle is often damaged. Testicular injury 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, accompanied by 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 not only help in the diagnosis of this disease, but also can clarify the location and scope of testicular injury. The treatment principles of testicular injury are first sedation, analgesia, and anti-shock, and secondly, to judge the degree of testicular injury, so as to take different treatment measures. Testicular ischemic pain 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. It is often caused by sclerosis of the testicular artery, which leads 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. |
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