Testicular Pain: Causes, Prevention and Treatment
Testicular Pain treatment explained by Dr. Gautam Banga
As Men, we might consider ourselves lucky as far as gender-specific conditions are considered. We do not have to face the discomfort of monthly periods, nor the agony of labor pain preceded and followed by different complications. Life is good, you might say. But testicular pain is one condition which only Men suffer from, and it could be pretty horrifying.
Almost every Man under the age of 25 has faced some kind of testicular pain once in his life. However, despite the alarming rate, not many people are aware about the causes and treatment of testicular pain. While most cases of testicular pain are mild and are cured over time, some severe cases may be symptoms of cancer and hernia.
What is testicular pain and how is the testicular pain treatment done?
Testicular pain could be defined as the pain originating in the scrotum and testicles of Men. Although the causes and severity varies, the pain in the general area is broadly classified as testicular pain. Testicular pain could be caused by a variety of reasons, but the symptoms remain fairly common. Even the mild pain in the scrotum due to an accidental hit is categorized under testicular pain.
Causes of testicular pain
Testicular pain is more of a symptom than a condition itself. The causes, in effect, are varied and difficult to diagnose easily. Some common causes are:
- Formation of kidney stones can affect the scrotum, leading to pain in the area.
- The testicles or scrotum could be infected, as in a case of acute epididymitis.
- Sexually transmitted diseases also affect the testicles, causing pain in the region.
- In cases of enlarged prostate, testicular pain is one of the most common symptoms.
- Infections causes by some bacteria could cause inflammation in the testicular region, as in the case of acute orchitis.
- The most severe cause is the cancer of testis, which has a regular symptom of testicular pain.
- Other conditions like tumors and gangrene can also cause testicular pain.
Identifying testicular pain
The most common reason behind this condition not being talked about is the sheer ignorance. People are not sure if the pain in their testicles is due to the scratch/hit that had some time ago, or due to something more serious.
In general, if you face more than one of the following symptoms, then maybe you are suffering from testicular pain:
- Tenderness in the testicles
- Swelling of testicles
- Redness in the scrotum
- Pain during urination
- Fever or vomiting
Understanding the level of pain
Testicular pain has a very wide-ranging severity level.It could range from mild discomfort to agonizing pain. Following are the types of pain you could feel in your testicles/scrotum:
- Torsion occurs in the testes when the spermatic cord is obstructed, affecting of flow of blood. It is one of the severest testicular pains, and demand immediate medical attention.
- Inflammation of testes due to bacterial infection results in orchitis. It is a severe pain that needs medical treatment.
- Inflammation of epididymis (a tube situated on the back of testicles) could be a case of epididymitis. It is also a severe testicular pain that needs to be treated immediately.
- In case of prostatitis, which is the swelling of prostate gland, the pain is constant and moderate. However, it could cause severe inflammation at times. Medical attention is required.
- In case of kidney stones, the pain is moderate and recurring. Most people tend to ignore the symptom in this case. However, it requires the removal of kidney stone.
- Testicular trauma is caused due to physical harm to the testicles during sporting activities or accidents. The pain is moderate, but would subside over time. Pain relievers are enough to deal with it.
Complications in testicular pain
Pain in the testicular region could be caused due to a variety of reasons. Thus, the complications arising from late or lack of treatment are also varied. However, some common complications are:
- Loss of testicles
- Infertility or impaired fertility
- formation of pus in the scrotum
- Decrease in the size of testicle
- Infection in the blood
- Infection in the kidney
Prevention of Testicular pain treatment
Like the famous saying goes, prevention is better than cure. However, since there are many causes of testicular pain, the preventive measures are many and need to be exercised cautiously. In case of pain caused by infection, the most common cause is STDs. Protective measure like condom could prevent them to a large extent. Some other infections could be prevented by immunization and antibiotics (under the prescription of a doctor).
The most common cause of mild testicular pain is testicular trauma. This could be prevented by wearing protective devices during activities that risk damage to the testicles.
Testicular pain treatment
The treatment for pain in testicles/scrotum depends upon the cause of the pain. Some treatments that must be taken, in accordance to the cause, are:
Being the severest kind of testicular pain, it requires immediate surgery. You could contact a urologist for the same. The main objective of the surgery is to untwist the spermatic cord that has caused the torsion. Sometimes, the untwisting could be done manually, without surgery. However, these cases are rare, and surgery is the safest option.
Viral or Bacterial infection
In cases of orchitis or epididymitis, the first course of medication usually involves pain killers. Furthermore, antibiotics are administered in order to kill the infection. In some rare cases, the testicles might be needed to be removed. However, in most cases, the most you would need is scrotum support or some other form of elevation, so that the pain is reduced without the need of pain relievers.
Hernia is a severe condition which must be treated immediately. In most cases, surgery is the preferred solution. However, in the most extreme cases, it is not surgically feasible to repair the damage, and the entire organ needs to be removed.
If the testicular pain is caused due to tumor, you need to contact an oncologist and admitted into the hospital for long-term medication. Surgery might be the safest option to remove the tumor. In some cases, chemotherapy is suggested to kill the tumor. Testicular cancer could be fatal, so the treatment must not be balked under any circumstance.
The trauma is caused due to physical strain over the testicles/scrotum, caused mostly during sporting activities. It might result in rupture of the testicles. In most cases, it is fine to contact a physician who might suggest pain killers and scrotum support. However, in case of rupture, immediate medical treatment is required so that the testicles are not damaged further.
Chronic Testicular Pain Treatment
If you are suffering from a chronic pain in the testes that has no apparent reason, conservative treatments might not have desired results. In such cases, microsurgical denervation of the spermatic cord serves as a best chance. Also known as cord stripping, the process is simple, almost pain free and has great results. The main benefit of microsurgical denervation of the Spermatic Cord is that it is minimally invasive, thus eliminating any chances of unwanted complication.
This testicular pain treatment comes into play in cases where spermatic cord blocking has shown to reduce pain. More than 70% of the times, the treatment was successful in eliminating the pain completely, while rest of the times it resulted in reduced pain to a great extent. Microsurgical Denervation of the Spermatic Cord also preserves the organs (testes and scrotum), thus eliminating the risk of infertility.
Testicular pain might be a common issue among Men, but that does not mean that it should be taken lightly. It can very well be a symptom of something serious, and negligence might only complicate the matter further. If you think that you are suffering from testicular pain, it is always wise to contact a urologist for further diagnosis and get the testicular pain treatment . If the condition is serious, you must not hesitate from undergoing a surgery. Delay in testicular pain treatment could lead to infertility and removal of testicles. Testicles are vital parts of your body and not easily replaceable, so it is better to keep them safe.
To know more please contact :
Dr. Gautam Banga
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316 | 011-41041131