Orchialgia: Testicular Pain
Testicular Pain can cause extreme discomfort. it is felt in one or both testicles.
The testicles are part of the male reproductive organ. They make sperm and the male sex hormone called testosterone. Without testicles, men wouldn’t be able to have kids.
While most testicular pain is temporary, it can persist days, weeks, months and even years. Doctors classify testicular pain as chronic if it last 3 months or longer. Initial cases can be managed by your primary care physician. Complicated cases are referred to Urologists who specialize in treating conditions of the Urinary Tract and Male Reproductive organs.
Pain in one or both testicles can be worrisome, but only a few conditions require immediate medical attention.
Signs and Symptoms of Testicular Pain:
This pain may range from a mild irritation to severe debilitating pain that significantly impacts the patient’s quality of life.
Some injuries can be serious and may even need emergency treatment. See a doctor just in case –
- The injury happened directly on the scrotum.
- Haematuria i.e., blood in your urine.
- Pain doesn’t ease up after an hour.
- Nausea and Vomiting
- Getting difficulty while urinating.
- Bruising or swelling of the scrotum or the scrotum fills with fluid.
- Fever after an injury to the testicles.
- Pain in testicles without recalling an injury.
The Common Underlying Causes of Pain in the Testicle are:
- Damage to the nerves of the scrotum caused by diabetic neuropathy
- Idiopathic testicular pain (unknown cause)
- Trauma or injury
Since the testicles are so sensitive, a direct blow of any kind can cause pain.
- Testicular torsion
In this condition, the testicle becomes twisted, cutting off blood supply to the testicle. This can cause damage to the tissue.
- The condition occurs more frequently in males between the ages of 10 and 20.
- Recurrent Torsion: This is an emergency condition. Pain from testicular torsion usually happens very suddenly, sometimes with nausea and vomiting. A man who has had torsion once is more likely to have it again.
This condition occurs when there is inflammation of the epididymis, generally as a result of an infection. The epididymis is an organ next to the testicle, in which sperm matures on its way out. Most often, an infection causes the swelling and pain of the epididymis, not the testicle itself.
Orchitis is a little different from epididymitis in that it involves inflammation of the testicle tissue itself. If a case of epididymitis is not treated soon enough, it can lead to orchitis. The mumps virus can cause orchitis, and while antibiotics do not work on a virus, other simple treatments, like pain relievers, rest, and sometimes corticosteroids can help the pain and swelling.
- Testicular Tumor
Though generally painless, tumors of the testicle can sometimes cause pain and discomfort of the testicle or scrotum. Testicular cancer can be treated and cured if caught early.
Penis examination: Examine the penis for signs of infection or other abnormalities.
Transillumination: In some cases, the doctor will shine a light through each testicle to visually look for hydroceles, spermatocytes and benign things.
Additional Diagnostic Tests
If Urologist suspects infection, inflammation, hernia or a testicular mass he may suggest the following additional tests:
Treatment Options for Testicular Pain
Treatment for testicular pain is strongly dependent on the underlying cause.
Medications: in case of moderate pain, the condition can be managed with conservative management.
Surgical Intervention for Testicular Pain:
It’s important to visit a centre where they manage this condition frequently.
In some cases, where the source of pain is clear, surgery may be recommended. It is important to recognize that surgery may not completely resolve the issue, but many men find relief. If you are considering a surgical option, it is important to do a little homework to find a urologist who performs these surgeries routinely. Look for doctors who talk about “micro-surgery” or “robotic surgery” which means that they use a microscope and or robotic assistance during surgery to improve precision.
Varicocele repair: Varicocele repair is a procedure to cut out the thickened veins and improve testicular function showing increases in sperm production, sperm health and testosterone production.
Vasectomy reversal: For vasectomized men whose pain stems from a congested epididymis, a vasectomy reversal may be an effective way at stopping pain. It is particularly important to find a skilled surgeon to reverse a vasectomy as the tubes in question are very small.
ADVANCED TREATMENT FOR CHRONIC TESTICULAR PAIN
Microsurgical denervation of the spermatic cord:
The procedure called microsurgical denervation of the spermatic cord, or cord stripping is a new microsurgical technique performed by a skilled Urologist in men who have not had success with conservative treatments.
This new surgical technique has been developed that resolves most testicular pain while preserving the testicle.
The procedure involves targeting nerve fiber concentrations in the spermatic cord while preserving the majority of the spermatic cord and vas deferens. An operating microscope is used to identify the tissue around the spermatic cord that carries nerves signals from the epididymis and testicle. By disrupting these nerves signals, long-term pain relief can be achieved. This procedure is performed under general anesthesia and takes approximately 1 hour to complete.
At centre for Urethra and Penile Surgery, Dr.Gautam performs this procedure with the help of 24X carl Zeiss German Microscope which is considered as a microscope with excellent resolution.
Dr.Gautam Banga is experienced in treating testicular pain caused by infection of the testicle (orchitis) or epididymis (epididymitis), post surgical pain, trauma, tumors, hernia, torsion (twisting of the testicle), varicoceles, hydroceles or spermatoceles.
Dr.Gautam Banga has undergone specialized training in microsurgical denervation of the spermatic cord.
Advantages of Microsurgical denervation of spermatic cord are listed below:
1.This surgery, which has a high success rate and preserves the physiological function of the testes, is often life-changing for men whose chronic testicular pain has no known cause.
2.High success rate-The success rates at UPS are higher. UPS is the only dedicated centre in Delhi-NCR to offer microsurgical denervation. The results are immediate.
3.Success in less than an hour.
4.Fast return to work and normal activities.
Patients recover at home in approximately two to five days and can return to their normal activities and work.
The Complications of Testicular Pain if not treated:
An untreated infection such as chlamydia or a serious condition such as testicular torsion may result in permanent damage to your testicles and scrotum. Damage may impact fertility and reproduction. Testicular torsion that results in gangrene can cause a life-threatening infection that can spread throughout your body.
Testicular pain impacts fertility-This is something alarming, so better to consult the specialist.
To know more please contact :
Dr. Gautam Banga
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : +91-9999062316 | 011-41041131