MN 561 Testicular Pain Discussion

MN 561 Testicular Pain Discussion

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Topic: Testicular pain

It is crucial for providers to investigate and differentiate
complaints of testicular pain. Testicular torsion is an emergency which
requires immediate diagnosis and management. Describe and depict the history
and physical exam findings in testicular torsion. What would be the treatment
or management for patients with testicular torsion?

Overview

Testicles are egg-shaped reproductive organs located in the scrotum. Pain in the testicles can be caused by minor injuries to the area. However, if you’re experiencing pain in the testicle, you need to have your symptoms evaluated.

Pain in the scrotum can be the result of serious conditions like testicular torsion or a sexually transmitted infection (STI). Ignoring the pain may cause irreversible damage to the testicles and scrotum.

Often, problems with the testicles cause abdominal or groin pain before pain in the testicle develops. Unexplained abdominal or groin pain should also be evaluated by your doctor.

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What are the common causes of pain in the testicle?

Trauma or injury to the testicles can cause pain, but pain in the testicle is often the result of medical issues that will require treatment. These include:

damage to the nerves of the scrotum caused by diabetic neuropathy
epididymitis, or inflammation of the testicles, caused by the STI chlamydia
gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma
a hydrocele, which is characterized by swelling of the scrotum
an inguinal hernia
kidney stones
orchitis, or inflammation of the testicle
a spermatocele, or fluid in the testicle
an undescended testicle
a varicocele, or a group of enlarged veins in the testicle

In some instances, pain in the testicle can be caused by a severe medical condition known as testicular torsion. In this condition, the testicle becomes twisted, cutting off blood supply to the testicle. This can cause damage to the tissue.

Testicular torsion is a medical emergency that must be treated quickly to prevent damage to the testicles. The condition occurs more frequently in males between the ages of 10 and 20.

Pain in the testicle is rarely caused by testicular cancer. Testicular cancer typically causes a lump on the testicles that’s often painless. Your doctor should evaluate any lump that forms on your testicles.