What happened to the pain in the balls?

Testicular pain is very painful for men, and it is actually a manifestation of testicular pain. The testicles are a very core part of the male reproductive organs. They produce a large number of sperm and are the key to male fertility. Testicular pain makes it difficult for men to endure because the nerve endings of the testicles are very developed, and the slightest stimulation will make the testicles very sensitive. Let's take a look at what causes testicular pain.

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.

The symptoms of testicular pain vary depending on the cause.

1. Infection

The patient's testicular pain is severe, even like a knife cutting, and is accompanied by systemic symptoms such as fever and chills. At this time, the scrotum is red and swollen, and the pain is more obvious when the testicles are touched.

(1) Tuberculosis infection: often accompanied by a history of tuberculosis in the urinary system or other parts of the body, manifested by dull testicular pain, a bloated feeling in the lower abdomen, and swelling of the scrotum. In severe cases, pus may flow out. When these lesions are touched by hand, there are uneven nodules that are hard and often adhere to the scrotal skin.

(2) Prostatitis: The testicular pain caused by prostatitis is often accompanied by a swollen and uncomfortable feeling in the perineum, as well as symptoms such as frequent urination, urgency, pain, and difficulty urinating.

2. Non-infectious

Chronic testicular pain may also be caused by varicocele or may be radiating from pain in other areas of the testicle.

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.