Testicular pain

Testicular pain may be caused by excessive testicular activity, and the testicles are relatively fragile. Touching or bumping the testicles will cause testicular pain. Therefore, for the cause of testicular pain, we should pay more attention to rest, use warm water to warm the testicles, and for symptoms of testicular inflammation, timely drug treatment is needed.

The soft tissue of the scrotum is loose, and the testicles are more mobile, but the tissue of the scrotal contents is delicate and has poor resistance to injury. Therefore, injuries to the scrotum and its contents are not uncommon in clinical practice, and usually occur in young men. Patients often suffer from injuries to the testicles, tunica vaginalis, spermatic cord, and scrotal wall at the same time, and the common cause of injury is direct violence.

Causes

1. Trauma

Gunshot injuries often involve multiple combined injuries. When a shrapnel injury is sustained, the testicle may be partially, mostly, or completely missing. Because the testicle is highly mobile, direct puncture injury and testicle damage are less likely.

2. Frustration

Caused by kicking, falling or being ridden.

Clinical manifestations

1. Local severe pain, the pain may radiate to the lower abdomen, waist or upper abdomen, and may even cause painful shock. The pain may also be accompanied by nausea and vomiting.

2. Examination shows scrotal swelling, bruises and congestion of the skin, and enlarged and hard testicles on the affected side with obvious tenderness. Often accompanied by scrotal hematoma, hydrocele or hemocele, etc. In the later stage of testicular ischemia and atrophy, the testicles are small and soft.

3. When the testicle ruptures, the testicular boundary cannot be clearly felt; when the testicle is dislocated, the scrotum is empty, and a testicular-like swelling is often felt in the lower abdomen and perineum; when the testicle is torsionally rotated, the testicle is elevated and becomes horizontal or the epididymis is located in front of the testicle, the spermatic cord becomes thicker, and the pain does not decrease or may even increase when the scrotum and testicle are lifted.

Check

B-ultrasound and Doppler examinations are valuable in determining testicular rupture and reduced testicular blood supply. When the testicle is ruptured, a hypoechoic area may appear; when the testicle is torsion, reduced testicular blood perfusion may occur on the injured side. If a clear diagnosis cannot be made, surgical exploration may be performed.

Diagnosis

After scrotal injury, due to clinical manifestations such as scrotal swelling, pain and bruises, diagnosis is not difficult. The important thing is to determine whether the testicles are injured. If it is misdiagnosed, it often leads to hematoma, followed by infection or testicular compression and ischemia, and finally testicular atrophy, affecting the patient's sexual function and fertility.