Most men, on more than one occasion, may present localized pain in the testicles, which, with the passing of hours or days, improves spontaneously or, on the contrary, persists or progressively worsens.
As indicated by the urologist in Rohini, pain can be understood as an alarm sign that warns of a problem with an organ and from this point of view it is not normal for testicular pain to exist, although sometimes the cause of this ailment originates from a mild or transitory alteration. The specialist adds that “the testicles, unlike other organs housed in the abdominal or pelvic cavity, are more exposed in the scrotum, without many anatomical barriers to protect them, so that, most of the time, the presence of Mild, transient and occasional testicular pain originates from small compressions or local trauma.
What are the main causes of testicular pain?
- Presence of varicocele (varices of the spermatic cord): it usually produces pain of mild or moderate intensity, associated with exercise or some movements.
- Inflammation or infection (orchitis or epididymitis) caused by viruses that circulate in the environment, bacteria that cause urinary infection or others that are acquired during unprotected sexual intercourse.
- Torsion of the testis. In this case, the testicle rotates and the testicular blood supply decreases or is completely interrupted, putting the vitality of the tissue at risk. It occurs mainly in children, adolescents and young adults.
- Tumor pathologies: although testicular cancer can cause pain, it must be taken into account that testicular pain is often mild or even absent.
- Trauma: a blow or compression in the genital area can cause pain and serious damage, depending on the magnitude of the injury.
- Pathologies of a benign nature, such as cysts or hydroceles of significant size, can also cause pain.
- Spreading or radiating pain: there are conditions that, without directly compromising the testicle, can be associated with testicular pain, for example renal colic, due to stones in the urinary tract, or inguinal hernias.
What happens when one testicle is larger than the other?
The urologist in Pitampura points out that it is normal for there to be a slight asymmetry in the size and position of the paired organs. Such is the case of the kidneys, the ovaries in women and the testicles.
“However, the difference in size in the testicles should be minimal and any rapid variation in testicular volume (either growth or decrease) should prompt an urgent consultation with a urologist in Pitampura. The vast majority of testicular tumors or cancer initially manifest with an increase in the volume of the testicle (rapid growth and increased consistency) before pain”, emphasizes the specialist.
The best urologist in Pitampura is emphatic in stating that “men should not be afraid to consult a urologist in Delhi if they have pain or other alterations in their testicles, because the timely diagnosis of some of the pathologies that cause these symptoms is essential to maintain sexual and sexual health. reproductive. And in the case of testicular tumors it can mean the difference between life and death.”
What are the consequences of not treating the causes that lead to testicular pain?
It is essential to specify the specific problem that causes testicular pain, through the interview and physical examination during the consultation and laboratory tests or imaging tests (particularly testicular ultrasound).
“All this must be done quickly and in a timely manner, since there are pathologies that require immediate treatment to avoid damage to the testicle (torsion of the spermatic cord), long-term sequelae that decrease or alter fertility (infectious orchiepididymitis or varicoceles) or, in the worst-case scenario, that put the patient’s life at risk (testicular cancer)”, adds the best urologist in Pitampura.
What are your treatments?
- Use of a scrotal suspender or somewhat tight underwear.
- Cold compresses or local ice intermittently, in periods of 20-30 minutes.
- Take a dose of common pain reliever.
If with these measures the pain does not subside or worsens, it is essential to consult a urologist in Delhi on a scheduled basis or to the emergency service, or if in addition to the pain there are other warning signs: fever, nausea, vomiting, increased volume, etc.
Once the diagnosis is made, treatment will be indicated according to the probable cause.
- Analgesics/anti-inflammatories in the appropriate dose and period, according to each patient.
- Specific antibiotics in proven or highly suspected cases of bacterial infections.
- Urgent surgery in cases of testicular torsion, testicular tumor or infectious complications (abscesses) or derived from local trauma (hematomas, wounds).
- Deferred or scheduled surgery: in cases of benign pathologies that do not endanger the life or functionality of the organ and that, therefore, can give a waiting period, or be initially treated with drugs to reduce symptoms (varicocele, hydrocele, cysts, testicular hydatid torsion, etc.).
- Pharmacological or surgical treatment of other pathologies that can secondarily produce testicular pain: renal colic, inguinal hernias, “elevator” testicle, diabetic neuropathy, chronic idiopathic testicular pain (without apparent cause).
What care must be taken in the treatments?
In general, the main recommendations can be summarized as follows:
- Do not self-medicate. Avoid taking medications without a medical prescription.
- Follow your doctor’s instructions exactly. Go to the controls.
- Consult the best urologist in Delhi in a timely manner. Remember that not only pain is a warning sign (abrupt change in size or consistency of the testicle can be an indication of serious pathologies, such as testicular cancer).
- Take into account the possible consequences derived from the consultation or late treatment: infertility, irreversible damage to testicular tissue, chronic pain, etc.
What measures are useful to prevent this problem?
- All men should perform a self-examination on a regular basis to be able to detect changes related to the size or consistency of the testicles.
- They must be protected during the practice of risky activities or contact sports.
- Practice safe sex (single partner, condom use).
Mumps vaccine: This viral infection can cause orchitis (inflammation of the testicle) and infertility in some cases. The vaccine is included in the mandatory childhood vaccination plan (at one year and at 6 years of age), and a booster dose can also be applied between 20 and 30 years of age.