Calliope Testicular pain can be treated with heat compresses, bed rest, medication, physical therapy, surgery, etc. Testicular pain is usually caused by trauma, orchitis, epididymitis, varicocele, testicular torsion and other causes.
1. Hot compress
Hot compress is suitable for mild testicular pain, which may be related to local cold or minor contusion. Wet a towel with warm water, wring it out, and apply it on the scrotum for 10-15 minutes, keeping the temperature at 40-50 degrees Celsius. Hot compresses can help promote local blood circulation and relieve muscle spasms. Can be repeated 2-3 times a day to avoid scalding the skin. If the pain persists for more than 12 hours without relief, you should stop applying heat and seek medical attention.
2. Bed rest
During an acute attack, it is recommended to rest in a supine position to reduce the traction pain caused by scrotal ptosis. You can place a soft pillow under your knees to elevate your scrotum, and use elastic underwear to provide support. Avoid strenuous exercise, standing for long periods of time, or straddling movements. Patients with chronic pain need to adjust their living habits, reduce sitting for long periods of time, and get up and move for 5 minutes every hour. Pay attention to whether the pain is accompanied by symptoms such as swelling or fever.
3. Drug treatment
Orchitis caused by bacterial infection requires the use of antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by the doctor. NSAIDs such as ibuprofen extended-release capsules can relieve pain and swelling. Patients with varicocele can take diosmin tablets to improve venous return. It is forbidden to drink alcohol while taking the medicine and complete the prescribed course of treatment. If allergic reactions such as rash or difficulty breathing occur, the drug must be discontinued immediately.
4. Physical therapy
For chronic testicular pain, ultrashort wave physical therapy can be tried, which uses high-frequency electromagnetic waves to penetrate deep tissues and promote the absorption of inflammation. Each treatment lasts for 15 minutes, and 10 times constitute a course of treatment. Microwave treatment has a better effect on epididymitis and can enhance local metabolism. Interventional embolization can be used for severe varicocele, with minimal trauma and quick recovery. Abstinence is required for 1 week before and after physical therapy to avoid pressure on the scrotum.
5. Surgical treatment
Testicular torsion is a urological emergency, and testicular reduction and fixation is required within 6 hours after diagnosis to save testicular function. Laparoscopic high ligation of the spermatic vein is feasible for severe varicocele. Testicular tumors require radical resection based on pathological type. A urinary catheter needs to be left in place for 1-2 days after surgery, and semen quality should be reviewed regularly. All surgeries require general anesthesia and fasting for 8 hours before surgery.
Trauma to the scrotum should be avoided in daily life and protective equipment should be worn during exercise. Choose breathable cotton underwear and wash your perineum daily. Avoid eating spicy food and drink more water to maintain urine output. If there is sudden severe pain accompanied by nausea and vomiting, you should seek medical attention immediately to check for testicular torsion. Men over 40 years old need regular physical examinations and scrotal ultrasound screening for tumors. Maintain a regular sexual life and avoid congestion caused by prolonged sexual excitement. When urethral discharge or painful urination occurs, sexually transmitted diseases need to be investigated.