Bettie Testicular soreness may be related to varicocele, orchitis, epididymitis, testicular torsion, urinary tract stones and other factors. Testicular soreness is usually caused by local blood circulation disorder, pathogen infection, external injury, etc., and manifests as dull pain, swelling or severe pain in one or both testicles. It is recommended to seek medical treatment promptly to investigate the cause of the disease to avoid delays in treatment.
1. Varicocele
Varicocele is a common cause of testicular pain, often caused by venous valve insufficiency leading to blood pooling. Symptoms include a feeling of swelling in the scrotum after standing for a long time, which may be accompanied by vermiform varicose veins on the surface of the scrotum. For treatment, you need to avoid standing for long periods of time. You can use diosmin tablets, Maizhiling tablets and other drugs to improve venous circulation as directed by your doctor. In severe cases, high spermatic vein ligation is required.
2. Orchitis
Retrograde infection of bacteria or viruses through the urinary tract can cause orchitis. Common pathogens include E. coli, mumps virus, etc. Typical symptoms are redness, swelling, heat and pain in the testicles, which may be accompanied by fever and frequent urination. Antibiotics such as levofloxacin tablets and azithromycin dispersible tablets must be used as directed by the doctor, along with bed rest and scrotal elevation.
3. Epididymitis
Epididymitis is often caused by the spread of urinary tract infection and manifests as a tender mass in the epididymal area behind the testicles. Redness of the scrotal skin can be seen in the acute phase, and induration may be palpable in the chronic phase. Treatment requires anti-infective drugs such as cefixime capsules and ciprofloxacin hydrochloride tablets, combined with local ice compresses to relieve swelling.
4. Testicular torsion
Testicular torsion is a urological emergency caused by rotation of the spermatic cord causing disruption of blood flow. Sudden severe testicular pain accompanied by nausea and vomiting is a typical symptom, and the position of the affected testicle may be elevated. Surgical reduction and fixation must be performed within 6 hours after diagnosis. Delayed treatment may lead to testicular necrosis.
5. Urinary system stones
Stones in the lower end of the ureter may radiate to the testicular area, causing referred soreness. It is often accompanied by symptoms such as waist and abdominal cramps and hematuria. For treatment, diclofenac sodium suppositories can be used to relieve pain, and stone-expanding granules can be used to promote stone discharge. Larger stones require extracorporeal shock wave lithotripsy.
It is necessary to avoid strenuous exercise or perineal trauma on a daily basis, and wear loose and breathable cotton underwear. People who sit for long periods of time should stand and move every hour. Sitz bathing with warm water can help improve local blood circulation. If the pain lasts for more than 24 hours or is accompanied by fever or hematuria, you must see a urology department immediately. Regular physical examinations can detect potential problems such as varicocele early, and testicular ultrasound is an effective examination method to determine the cause.
