How to treat pain on both sides of the testicle?

Physical pain is familiar to many people, because sometimes pain is physiological and sometimes pathological. Of course, if the pain is very severe, as long as you go to the hospital for examination and treatment, there will basically be no big problem. For men, testicular pain may occur in life, so how to treat pain on both sides of the testicle?

Treatment principles

On the basis of determining the cause, etiological treatment can be carried out; 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.

Differential diagnosis

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.