Sudden Testicle pain in relation to erectile functions

Testicle pain or testicular pain is pain in a part or complete testicle of either one or both sides. Pain may start elsewhere in the groin or abdomen, and then radiate to the testicles. Testicles, which sit inside the scrotum, are very sensitive organs; even a minor injury can cause pain or discomfort. A sudden, severe pain in the testis may require urgent medical care; conditions such as testicular torsion require immediate interventions. Cancer of the testes may not always be painful.

Symptoms of testicular pain may be characteristic for the underlying condition. For example,

A testicular torsion produces a sudden and severe pain

Pain due to epididymitis often begins gradually.

Fournier’s gangrene may produce fever and intense pain.

Testicular pain may be accompanied by symptoms like nausea, vomiting, abdominal pain, swelling, tenderness or redness of the testes and scrotum, and fever. Some may have painful urination; abnormal discharge from the penis may also be seen in others. Pain with sexual intercourse or ejaculation can occur. Some complain of observing blood in the urine or semen.

Diagnosis of the cause of testicular pain is made after a thorough physical examination, laboratory tests and imaging. Your doctor may look for findings like the cremaster reflex or Prehn’s sign (elevating the testis relieves pain). Laboratory tests search for infections. Ultrasound imaging is a very helpful aid in early diagnosis of serious conditions like testicular torsion.

Treatment of the underlying cause is the primary aim in treating testicular pain. Pain killers like ibuprofen or paracetamol (acetaminophen) may provide temporary relief. Testicular torsion requires immediate surgery to prevent permanent damage to the testes. Infections require antimicrobial medications.

Causes of Testicular Pain

1.Injury, infection or inflammation, and testicular torsion are the commonest causes of testicular pain.

Injury to the testes may produce severe pain. Most of the testicular injuries are caused by blunt trauma. Sports injuries, direct blows (kick or punch), vehicle accidents are common. A bruise or swelling of the testis and scrotum occurs. Some injuries are severe and warrant emergency surgical interventions.

2.Epididymitis and orchitis are infections that cause pain in the testicles.

3.Other conditions such as inguinal hernia, kidney stones, infection or bleeding in the abdomen may also be associated with testicular pain.

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