testicular pain
Introduction
Introduction Testicular pain is a painful symptom of testicular tissue caused by the male reproductive system and its local inflammation and injury. 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.
Cause
Cause
At present, many men are suffering from testicular problems. Because of the lack of knowledge they know, many men will blindly choose treatment methods, which will make the undiagnosed condition more serious. There are many causes of testicular pain, but there are mainly testicular torsion, testicular damage, orchitis, and testicular ischemic pain.
First, the testicles are twisted. Testicular torsion is one of the common emergencies in the scrotum. There are severe activities a few hours before the onset of the disease, or the testicles have been subjected to external forces. Severe testicular pain occurs suddenly during sleep or quiet. This is the first symptom of the disease and one of the main diagnostic criteria. Some patients are accompanied by nausea and vomiting, swelling of the scrotum, and tenderness.
Second, testicular damage. The testicles are more active in the scrotum, and have a tough white membrane protection. The chance of closed injury is small. Testicular injuries are mostly related to violence, car accidents, etc. After the injury, the testicles are severely painful with nausea, vomiting, and even occur. Fainting or shock, testicular swelling, unclear outline or scrotal congestion, tenderness, B-ultrasound and CT not only help the diagnosis of the disease, but also can determine the location and extent of testicular damage.
Third, testicular ischemic pain. Testicular ischemic pain is more common in the elderly, the pain is more severe, the activity is aggravated, the rest is relieved, the prostatic fluid microscopy is normal, often due to arteriosclerosis caused by arteriosclerosis. Testicular atherosclerosis is often a local manifestation of systemic vascular disease, mostly unilateral lesions, more common on the left side than on the right side.
Fourth, orchitis. The testes are located in the scrotum, one on each side, and the testicles secrete male hormones, which play an important role in the development and maturation of the male reproductive organs and the emergence of male secondary sexual characteristics. There are many causes of orchitis, such as patients with mumps, can be complicated with orchitis, testicular pain, swelling; gonorrhea is the highest incidence of sexually transmitted diseases, can cause orchitis in severe cases; chronic prostatitis can also Causes testicular pain, manifested as unilateral pain, mostly dull or pulling pain, persistent, patients mostly young and young, rare in the elderly.
Examine
an examination
Related inspection
Testicular testicular biopsy
In clinical practice, when you see testicular pain, 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 confirm testicular pain The location, cause and severity of the disease provide the basis for further treatment.
1, blood routine examination showed increased white blood cells, increased neutrophils;
2, urine examination can be seen under the microscope 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.
Diagnosis
Differential diagnosis
Differential diagnosis of testicular pain:
1, testicular acute pain: testicular pain is more common in orchitis and injury, orchitis in addition to blood infection, more common is the bacteria retrograde to the epididymis and testis through the urethra, causing epididymitis, orchitis, and orchitis, testicular swelling At the same time, there is increased body temperature, cold, headache, vomiting and abdominal pain, swollen testicular pain. Clinically visible epididymis and testicular swelling and pain. There is a history of trauma and local swelling and congestion in the testicular injury. Strenuous exercise or sexual intercourse and violence can sometimes cause strong contraction of the cremaster muscle, which can cause the long testicles to twist and cause severe pain in the testicles. 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.
2, testicular chronic pain: lighter 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.
3, testicular tenderness: testicular tenderness is the manifestation of clinical symptoms of gonorrhea complicated with seminal vesiculitis. Gonorrhea complication seminal vesiculitis usually occurs after acute urethritis, mostly unilateral. There is low fever, epididymis swelling pain, ipsilateral groin and lower abdomen have reflex pain, the beginning and testicular boundaries are clear, gradually unclear, testicular tenderness, swelling, severe tenderness.
