What's the matter with testicle pain?

Testicular pain may be caused by testicular torsion, epididymitis, varicocele, trauma or urinary system infection, etc. It can be relieved by rest and cold compress, antibiotic treatment, surgical reduction, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Testicular torsion

Testicular torsion is often caused by obstruction of blood flow due to rotation of the spermatic cord, resulting in sudden severe pain and swelling of the scrotum. Emergency surgical reduction and fixation is required, as delayed treatment may cause testicular necrosis. Commonly used analgesics include ibuprofen sustained-release capsules, acetaminophen tablets, etc., but they must be used after a doctor’s evaluation.

2. Epididymitis

Epididymal inflammation caused by bacterial infection manifests as persistent swelling and pain, which may be accompanied by frequent urination and fever. It is necessary to use antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by the doctor, and cooperate with scrotal elevation to reduce swelling. Strenuous exercise should be avoided during the acute phase.

3. Varicocele

Poor spermatic vein return leads to a swollen feeling in the scrotum, which worsens after standing for a long time. Mild cases can be relieved by wearing tight underwear, while severe cases require high spermatic vein ligation. Intravenous active drugs such as Maizhiling Tablets can help improve symptoms.

4. Trauma

Impact or sports injuries can cause testicular hematoma, and the degree of pain is related to the intensity of the trauma. In the early stage, cold compress should be used to stop bleeding, and hot compress should be applied after 48 hours to promote absorption. If persistent swelling occurs, testicular rupture must be ruled out and ultrasound examination may be performed if necessary.

5. Urinary system infection

Prostatitis or urinary tract infection may radiate to the testicular area with abnormal urination. Tamsulosin hydrochloride sustained-release capsules, Longqing tablets and other drugs can be used to control infection. It is necessary to keep the perineum clean every day and avoid holding in urine.

When testicular pain occurs, sexual life and strenuous exercise should be suspended immediately, and soft pads should be used to reduce friction. Eat a light diet and avoid spicy and irritating foods. Daily warm water sitz baths can help relieve discomfort. If the pain does not relieve for more than 6 hours or is accompanied by vomiting and fever, emergencies such as testicular torsion must be ruled out in an emergency. Regular physical exams can detect potential problems such as varicocele early.