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Testicular pain
Causes of testicular pain
Testicular pain can be triggered by a variety of causes. The most common include
- Infections: Bacterial infections such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicles) are common causes.
- Injuries: Trauma or injury to the testicle can lead to acute pain.
- Testicular torsion: A twisting of the testicle on its own axis, which leads to an interruption of the blood supply and requires immediate medical attention.
- Hydatid torsion: Twisting of a small appendage on the testicle or epididymis (hydatid), especially in adolescents.
- Varicocele: Enlarged veins in the scrotum that can lead to a pulling pain.
- Hernias: Hernias can cause pain in the scrotal area.
- Tumors: Testicular cancer can be detected by painless swelling or lumps in the testicles that occasionally cause pain.
Symptoms of testicular pain
- Acute or chronic pain in the testicle area
- Swelling and redness of the scrotum
- Pain during urination or sexual intercourse
- Palpable hardening or lumps in the testicles
Diagnosis of testicular pain
Diagnosis is based on a thorough medical history and physical examination by a urologist. Ultrasound examinations are an important diagnostic tool to differentiate between various causes such as inflammation, torsions, tumors or varicocele. If an infection is suspected, urine and blood tests are also carried out.
Treatment options for testicular pain
- Conservative: Rest, cooling of the scrotum, painkillers and anti-inflammatory medication can help to alleviate the symptoms.
- Medication: Antibiotics for bacterial infections, painkillers and anti-inflammatory medication.
- Surgical: Immediate surgery may be necessary for acute conditions such as testicular torsion or severe injuries. Varicoceles can also be treated surgically if they cause symptoms.
Preventive measures for testicular pain
Regular self-examinations of the testicles can help to detect unusual changes at an early stage. During sporting activities, it is important to wear protective clothing to avoid injuries. Good hygiene and protection against sexually transmitted infections can also reduce the risk of testicular pain.
Frequently asked patient questions about testicular pain
Yes, stress can trigger muscle tension and psychosomatic complaints, which can manifest themselves as testicular pain, among other things.
Sometimes slight pain can occur after sexual intercourse, especially during prolonged arousal without ejaculation. However, if the pain persists or is severe, it is advisable to seek medical advice.
Testicular cancer rarely causes pain in the early stages. It usually manifests itself as painless lumps or swelling. Nevertheless, unusual testicular pain should always be examined by a doctor.
Rest, elevation of the scrotum and careful cooling can provide relief. However, a doctor should be consulted if the pain persists or is severe.
In the event of sudden, severe pain, swelling, redness or fever, an immediate medical examination is necessary to rule out serious causes.
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