Testicular pain

Introduction Testicular pain is caused by inflammation, injury, and tumors in the male reproductive system and its local tissues. It is one of the common symptoms in male clinics. Testicular pain can be roughly divided into: acute persistent pain and chronic recurrent pain, in which acute persistent pain is acute in testicular pain and more common in orchitis and injury. In clinical practice, when you see testicular tenderness, you must first look at the history of urinary system diseases, clinical symptoms and signs; second, check blood routine, urine routine, bladder, prostate, urinary ultrasound to clear testicular tenderness The location, cause and severity of the disease provide the basis for further treatment.

Cause

Causes:

Due to the different types of diseases, the pain properties are painful, painful, knife-like pain, etc. The degree of pain also has differences in pain, severe pain, etc. In addition to the pain caused by the lesions of the testis itself, the epididymis and spermatic cord in the scrotum Lesions and inflammation also tend to cause testicular pain.

Symptoms of testicular pain caused by different causes are also different. Patients with infections have severe testicular pain. Even if the knife is cut, it will be accompanied by systemic symptoms such as aversion to cold. At this time, the scrotum is red and swollen, and the pain is more obvious when the testicles are touched. When suffering from tuberculosis infection, it is often accompanied by a history of tuberculosis in the urinary system or other parts. It is characterized by faint pain in the testicles, a feeling of bulging in the lower abdomen accompanied by swelling of the scrotum, and pus out in severe cases. At the site, there are uneven nodules, which are hard and often adhere to the scrotal skin.

Testicular pain caused by prostatitis, accompanied by the feeling of discomfort in the perineal bulge, there will be frequent urination, urgency, dysuria, dysuria and so on. Testicular pain caused by testicular tumors and epididymal tumors is often painful or painful, often suffering from ectopic testicular and testicular insufficiency. When local operations such as testicular damage, epididymal damage, and testicular torsion, such patients often have a history of trauma or strenuous exercise. Testicular pain is rapid, and the reaction is strong, and the symptoms of pain can be transmitted to the lower abdomen, the lower part of the waist, and even cause shock. Others, such as varicocele, spermatic hydrocele, pain are lighter, more manifested as scrotum involving pain, mainly bulging discomfort, light can also be asymptomatic.

an examination

Related inspection

Testicular examination urinary system CT examination

1, blood routine examination: visible white blood cells increased, neutrophils increased.

2, urine examination: visible microscopic hematuria and white blood cells.

3, in the acute phase of the urine can be found pathogenic bacteria, if necessary, can be used for syphilis serum test to exclude syphilis.

4, smear examination: take the patient's urethral secretions or cervical secretions, for Gram stain, find Gram-negative diplococcus in polymorphonuclear leukocytes. Smear for patients with simple gonococcal anterior urethritis with a large amount of purulent secretion, the positive rate of this method is about 90%, which can be initially diagnosed. The pharyngeal smear found that Gram-negative diplococcus could not diagnose gonorrhea, because other Neisseria species are normal flora in the pharynx. In addition, smear positive for atypical symptoms should be further examined.

5. Culture examination: Neisseria gonorrhoe culture is an important evidence for diagnosis. The culture method is a sensitive method for male or female patients with mild or asymptomatic symptoms. As long as the culture is positive, the diagnosis can be confirmed. Before the genetic diagnosis is made, the culture is The only method recommended by the World Health Organization for screening gonorrhea.

Differential diagnosis

Identification:

Acute pain is more common in orchitis and injury. In addition to blood infection, orchitis is more common. The bacteria are retrogradely through the urethra to the epididymis and testis, causing epididymitis and orchitis. The epididymis and testicles are swollen and painful. Because the testicular torsion blocks the blood supply to the testicles, the testicles have severe scrotal swelling and skin edema in addition to severe pain. Relatively speaking, the diagnosis of acute pain is easier.

In the case of chronic pain, the lighter is prolonged. The pain is lighter, generalized, and has radioactive pain, so it is not easy to determine the exact part of the inflammation. Testicular pain is not necessarily proportional to the severity of inflammation. Some people have a high degree of neurological sensitivity. Mild inflammation can cause more severe pain. Some people are slower and feel lighter. Some pain occurs after sex, which may be caused by high levels of hyperemia of the genitals and gonads due to sexual excitement. Some pains are caused by pain in the spermatic varices or other parts, such as testicular radiation pain caused by ureteral stones. At this time, it is necessary to carefully identify the real cause for effective symptomatic treatment.

Symptoms of testicular pain caused by different causes are also different. Patients with infections have severe testicular pain. Even if the knife is cut, it will be accompanied by systemic symptoms such as aversion to cold. At this time, the scrotum is red and swollen, and the pain is more obvious when the testicles are touched. When suffering from tuberculosis infection, it is often accompanied by a history of tuberculosis in the urinary system or other parts. It is characterized by faint pain in the testicles, a feeling of bulging in the lower abdomen accompanied by swelling of the scrotum, and pus out in severe cases. At the site, there are uneven nodules, which are hard and often adhere to the scrotal skin. Testicular pain caused by prostatitis, accompanied by the feeling of discomfort in the perineal bulge, there will be frequent urination, urgency, dysuria, dysuria and so on. Testicular pain caused by testicular tumors and epididymal tumors is often painful or painful, often suffering from ectopic testicular and testicular insufficiency. When local operations such as testicular damage, epididymal damage, and testicular torsion, such patients often have a history of trauma or strenuous exercise. Testicular pain is rapid, and the reaction is strong, and the symptoms of pain can be transmitted to the lower abdomen, the lower part of the waist, and even cause shock. Others, such as varicocele, spermatic hydrocele, pain are lighter, more manifested as scrotum involving pain, mainly bulging discomfort, light can also be asymptomatic.

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