Testicular Pain (cont.)
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What Are the Common Causes Testicular Pain, Discomfort, Swelling, and Soreness?
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Testicular pain, discomfort, swelling, and soreness has many causes, some of which constitute surgical emergencies that require immediate medical attention in order to salvage the affected testicle.
Trauma: Trauma to the testes often produces extreme pain. A direct blow to the scrotum, while very painful, usually causes only temporary pain. Most cases of testicular injuries (85%) are caused by blunt trauma (sports injuries, a direct kick or punch, car accidents, or straddle injuries).
Testicular torsion: Testicular torsion is a surgical emergency. This problem occurs when the testicle twists inside the scrotum, either spontaneously or less commonly, as a result of direct trauma. When the testicle twists, the blood vessels contained within the spermatic cord also twist leading to an interruption of blood flow to the affected testicle.
Epididymitis: Epididymitis (inflammation of the epididymis) is most often due to an infection. It's the most common cause of testicular pain in men older than 18 years of age, though it can also occur in prepubertal boys and in elderly men.
Torsion of a testicular appendage: This self-limiting condition is a common cause of testicular pain in younger boys, with most cases occurring between the ages of 7 and 14 years.
What Are the Less Common Causes of This Condition?
Other, less common causes of testicular pain include:
Inguinal hernia: This condition occurs when part of the intestine protrudes through a muscular defect in the groin area and slides into the scrotum. This may cause scrotal swelling and testicular discomfort.
Orchitis (inflammation of the testicle): This inflammatory condition of the testicle generally occurs because of an infectious process. It is sometimes found along with epididymitis (epididymo-orchitis), especially when epididymitis has gone untreated for several days. Most cases of orchitis are caused by a viral mumps infection, though other viruses and bacterial organisms can also cause it.
Testicular tumor: A tumor rarely causes testicular pain. It is important to conduct regular self-examinations of the testicles to locate any lumps or masses, as early detection improves the prognosis for testicular cancer.
Kidney stone: The pain from kidney stones may sometimes radiate into the testicular area.
Medically Reviewed by a Doctor on 5/19/2017
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