Testicular Pain (cont.)
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What causes testicular pain symptoms?
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Testicular pain 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 testicles 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. It 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 is the most common cause of testicular pain in men older than 18 years of age, though it can also occur in prepubertal individuals and in the elderly.
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.
Other, less common causes of testicular pain include the following:
Medically Reviewed by a Doctor on 12/8/2015
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