It can be an emergency, because it may mean that something is blocking blood flow to your testicles. Common causes of testicle pain are a long bike ride or trauma to the groin, but other sources of testicle pain may be harder to diagnose. Pain may come from the epididymitis, which is a curved tube that sits on each testicle to store sperm.
Or it may come from the scrotum, the sack that holds the testicles. In some cases, the pain may start in other parts of the body like the kidney or bowel. The most important thing is to rule out an emergency such as testicular torsion, which would require urgent surgery.
As for other causes, the treatments are a stepwise process going from least invasive to most invasive and consist of behavior changes, medication, and even surgery. Jason Chandrapal.
The epididymis is the tube inside the testicle that stores sperm. Epididymitis is an infection of this area. A bacterial infection stemming from a sexually transmitted infection STI or a urinary tract infection UTI may be the cause. Trauma can also cause epididymitis.
Your doctor diagnoses epididymitis with a physical exam, urine or blood tests, and imaging tests to rule out other causes. In some cases, epididymitis can create an abscess that needs to be drained. Epididymitis is treated with antibiotics. Orchitis is inflammation of one or both testicles. Orchitis can also develop from epididymitis , and often is referred to as epididymo-orchitis. Doctors diagnose orchitis with urine tests and imaging tests to rule out other causes. You need antibiotics to treat orchitis.
Yes, a urinary tract infection UTI can cause testicle pain. A UTI is an infection that can occur in the urethra the tube for urine and semen in the penis , as well as the bladder, ureters tubes connecting the bladder to the kidneys , and kidneys.
Infection along the urethra can sometimes track backwards into the branch of the urethra that leads to the testicles. A groin hernia, also called an inguinal hernia , is when something in the lower abdomen, such as a loop of intestine or a section of fat, has pushed through the muscles of the abdominal wall.
This creates a bulge, or hernia, that can be seen and felt in the groin. A hernia is caused by a weak spot or opening in the abdominal wall muscles, which can separate during heavy lifting or other kinds of abdominal strain. The weakness may be inherited or be caused by a previous surgery or injury. A hernia will not heal on its own. If the herniated organ becomes stuck or the blood supply decreases or stops, you can have serious complications.
A small hernia may not need to be treated if they are not bothersome. Larger hernias are repaired with surgery. A hydrocele is swelling that occurs when fluid collects inside a thin sheath of the scrotum. Testicles originally develop in the abdomen and move down to the scrotum, leaving a path for abdominal fluid to collect in the scrotum.
You may not have symptoms with hydroceles at first. But as they swell, they may become more uncomfortable. They may also become infected and very painful. Torsion refers to abnormal twisting of the spermatic cord, which holds blood vessels, nerves, and ducts for transporting sperm between the abdomen and the testicle.
If you or a loved one developed a testicular torsion and there was a delay in diagnosing the torsion that led to the loss of a testicle or sterility, please feel free to contact one of our experienced lawyers, doctors or nurses at for a confidential and free consultation.
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What is Nitrous Oxide? What is an Epidural? An epidural is a common form of pain relief used during labor. The combined analgesic and This reflex probably will not occur if there is testicular torsion. If the diagnosis is uncertain, a urologist will be consulted immediately, to avoid compromising the health of the testicle. Exploratory surgery may be necessary to identify whether symptoms are caused by testicular torsion or another condition.
It surgery does not reveal torsion, the surgeon may still attach the testicle to the scrotum wall, to prevent future problems. If pain has lasted for several hours and the physical exam suggests testicular torsion, surgery may be performed without additional testing, to prevent the loss of the testicle.
Testicular torsion normally requires emergency surgery. If treated within hours, the testicle can usually be saved, but waiting longer can cause permanent damage and may affect the ability to father children. The operation is simple and minimally invasive. It is normally conducted under general anesthesia, and it does not usually require a stay in the hospital. The sooner the testicle is untwisted, the greater the chance of successful treatment.
After 6 hours, lasting damage may occur, and after 12 hours, there is a 75 percent chance of losing the testicle. After surgery, the patient will need to avoid strenuous activity and sexual activity for several weeks. Having testicles that can rotate or move back and forth freely in the scrotum is an inherited trait. Some males have this attribute and others do not.
The only way to prevent testicular torsion for a man with this trait is through surgery to attach both testicles to the inside of the scrotum so that they cannot rotate freely. The majority of cases, if treated within 6 hours, do not require the removal of the testicle orchiectomy. However, if treatment is delayed for 48 hours, the majority of patients do need to have the affected testicle removed. Either way you should go for peace of mind through expert medical advice.
I have a mild continuous pain at the top of my right testicle. It sometimes spreads into the right groin. There is no swelling or lumps. It is only slightly tender when touched. There is no sexual dysfunction although it is worrying. What is the possible diagnosis and what shall I do? Without an examination and more information about your age etc I cannot give you a definitive advice but there are certain possibilities. Problems with the testicle itself include a cyst in the duct which carries the sperm to the penis.
These are common and can be easily treated. If there is any suggestion of a lump you must consider testicular cancer which is also eminently treatable. Even without a lump it is still a possibility so check it out with your GP. Hernias have a nasty habit of giving this kind of pain with no history of lifting something heavy.
Either way you need this one checked by a professional. I have many lumps all over my scrotum. They vary in size. They have been there for about 8 years since I was They are hard and white and can be itchy. A brief visit to my GP regarding another problem pointed out that they could be calcium deposits? How and what do I do to remove them? The fact they have been there for so long is a good sign that they are nothing horrible. Remember that your scrotum is like any other skin and has sweat glands.
It also has bumps like those on your penis which are designed to enhance sexual pleasure for your partner. Take a look at dildos in any sex shop. The last thing they are is smooth. I suspect you are looking at a mixture of sweat gland secretions and natural 'bumps'. I strongly recommend not trying to remove them. If they are calcium deposits they must come from sweat gland secretions and I very much doubt that these glands produce that amount of calcium.
Leave well alone and try out the 'sexual advantage' theory first. I appear to have a build-up of fluid in the right half of my scrotum, which is about three times its normal size. It is entirely painless, and there are no hard lumps. Am I right in suspecting that this is probably a hydrocele? Could this be related to cycling? It's difficult to be exact without the benefit of examining you, but what you describe would fit the description of a hydrocele.
Hydroceles can be related to "trauma" and the repeated pressure of cycling could, I suppose, be the cause of a hydrocele. I noticed today that when I sit down and bring my legs close together so that the knees touch, my left testicle moves very high up, almost completely out of the sac and I can see it bulge under the skin in the groin area.
There is no pain and when I stand up it drops back down. This happened once before last year, then it went away. Should I be concerned?? The testicles in the majority of cases drop down into the scrotum at or around the time of birth, and after that they should remain in the scrotum.
Sometimes testes are slow to drop down into the scrotum we call these undescended testicles and an operation is usually required. What you are describing is more reminiscent of a "retractile" testicle. This is not particularly serious but you should see your GP for a check up.
Sometimes there may be an inguinal hernia associated with this condition. At the end of the day you may not require an operation providing:. From time to time depending on my stress levels I notice tension between my scrotum and anus. The tension seems to be slight near my left testicle but it is noticeable but not uncomfortable! It feels like a muscular tension.
Should I need to be concerned about this? Stress and tension can cause a number of bodily symptoms, and I have seen patients with symptoms like yours which were due to stress. I suppose the obvious thing would be to try and moderate your lifestyle to reduce the levels of stress you experience if possible. Having said that - unless the symptoms are really bothering you then you probably don't need any specific treatment at present.
I have noticed a few hard very small pea shaped objects around my penis inside the scrotum. I am very concerned and would like to know if I have a problem and if so what I should do?
Small pea shaped objects in the scrotal skin are likely to be sebaceous cysts which result from blockage to the oily glands that lie around the hair follicles in the scrotal skin. These are not serious, but if large may sometimes require removal. They can occasionally become infected.
Pea shaped objects within the scrotum itself might be caused by cysts in the epididymis. Again, these are not serious but can enlarge and cause discomfort. An exact diagnosis is difficult in this case and for reassurance you should see your GP for a thorough examination. For about 3 days now I have had tenderness in my right testicle, the tenderness is concentrated at the top nearest to the base of the penis. I am very concerned about it. It is uncomfortable to touch and also when I have an erection and my right testicle is drawn upwards.
I do not know of anyway I could of injured myself, unless at work when I lean against the fitting which is at pelvic height. I do not wear tight underwear either. I have thought about giving it a few days before I consult my doctor to see if the problem eases. Thank you. First, relax as there is unlikely to be anything life threatening going on.
It sounds as though you may have an infection of either the testicle or the duct which carries sperm from them to the penis.
Generally there is a feeling of heat and tenderness with possibly blood or pus mixed in the sperm or urine. It is unlikely to be torsion, where the testes twists on itself cutting off its own blood supply as the pain is unbearable and comes on over an hour maximum. Testicular cancer is generally painless until the later stages. A lump on the testicle is often the first and only sign.
You should see your doctor who will probably prescribe antibiotics. It seems that both of my testicles are not swollen but are filled with something inside, more on one testicle than the other though. It feels spongy, mushy. I think I have had it for years but I never looked into it.
I used to lift heavy objects before and that is the approximate time this happened. I've looked at other websites but they keep talking about a hernia in the lower stomach area. Another thing is that it does not feel lumpy nor hard. Sorry I could not get more specific, that's as good as I can get. I don't think that your "problem" is anything to do with the lifting, it doesn't really sound like a hernia. I don't really have much to go on, and without the benefit of examining you a diagnosis is difficult.
You appear to have had this "problem" for a number of years, which makes it most unlikely to be anything very serious. For a full diagnosis I regret that you will probably need to see your own GP. I am an 81 year old male and have just become aware of a slight swelling of the scrotum. I have had a sharp pain in the groin area very very occasionally.
I regret that I don't have a lot to go on here - if you are concerned you should see your GP for an examination. If there is any difficulty with the diagnosis then an ultrasound scan should resolve the issue and relieve any anxieties.
I find traces of blood in my semen. What is the cause of this? I don't seem to have damaged myself to have caused this, and sexual relations have been sparse lately.
There should never be blood in your semen. Having said this, when it does happen it is easily treated especially if you see your doctor early. A good dig in the groin with a football boot or a crossbar of a bike will often cause sufficient trauma to cause bleeding into your semen.
It can also result from infection, although you would be aware of this as it is very painful. Testicular cancer is a candidate and the good news is that it is one of the most treatable of all cancers.
In older men problems with the prostate are also possible. Whatever your age and possible cause, you need this checked out, so nip down to your GP. My scrotum has become swollen after some sexual activity.
Although I feel little pain, I am aware that the scrotum has become larger, tender, and seemingly filled with fluid.
Should I be concerned? It is difficult to know how sexual activity may have caused this problem. It may be coincidental and the scrotum may be swollen for another, unrelated, reason. Unfortunately it is difficult to give a comprehensive answer to this on the basis of the information given. I would suggest a visit to your general practitioner for a check up. This will also reassure you as to the cause of your symptoms. I have had an ultrasound of my testicles and been told I have a cyst on my left testicle.
What can I do about this, and could it cause my penis to get smaller and not become fully erect? It feels like another testicle attached to the left one, and is much larger when I sleep.
I suspect that the scan has shown a cyst in the epididymis, which is the tube around the testicle and transports sperms away from the testicle. Epididymal cysts are common, but are innocent. They most commonly cause symptoms of discomfort. They are usually quite small but can become quite large the size of an orange, or larger.
Unless they are causing symptoms it is reasonable to leave them alone. Epididymal cysts can be removed by surgery under a general anaesthetic. This can be done as a day case.
Although the procedure is a fairly minor one you should be aware that any surgical procedure on the epididymis may compromise the fertility on that side. This is because the transport of sperms down the very fine tubes on that side may be impaired.
The other side should continue to work as normal. My 3 months old has a swollen right testicle. Will he need an operation? This is most likely to be a hydrocele which is a collection of fluid around the testicle. Hydroceles are more common on the right side. Nearly all hydroceles in babies disappear by the age of one year. If you are concerned or if the swelling is still present at the age of one year you should seek the advice of your GP.
An operation and drainage for this condition in babies is very rarely needed. During sexual arousal, my right testicle retracts up into my groin. It is not painful and I can push it back down again - but it just goes back up. This lasts until the end of sexual arousal when it returns to its normal position. Advice please. First of all relax. This completely normal. It is possible, with a bit of practice, to get both testicles to disappear into the safety of the abdomen. Ask any Sumo wrestler - politely.
The problems start when they don't come back down again. This is very rare and testicles are more likely to fail to descend into the scrotum just after birth, not later in life once they have successfully made the journey.
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