Acute pain
Mostly seen in testicular inflammation and injury, testicular inflammation in addition to bloodstream infection, more common is the bacteria through the urethra retrograde to the epididymis and testicles, resulting in epididymitis, orchitis, clinically visible epididymis and testicular swelling and pain. Testicular injury has a history of trauma and localized swelling and bruising. Strenuous exercise or intercourse, violence can sometimes cause strong contraction of the levator muscle, which can cause the testis to torsion of the tethered testicle and cause severe pain in the testicle. Since the blood supply to the testicle is blocked by the torsion, the testicle may be in severe pain and may be accompanied by scrotal enlargement and skin edema. Acute pain is relatively easy to diagnose.
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Chronic pain
Mild pain is prolonged for a long time. The pain is mild, generalized and radiating, so it is not easy to determine the exact location of the inflammation. Testicular pain is not necessarily proportional to the severity of the inflammation. Some people have a high degree of nerve sensitivity and a mild inflammation can cause severe pain, while others are more sluggish and feel less pain.
Some pain occurs after sex, which may be due to high levels of genital and gonadal congestion from sexual arousal. In some cases, the pain is caused by varicocele or pain radiating from other areas, such as radiating pain in the testicles caused by ureteral stones, and it is necessary to carefully identify the real cause in order to effectively treat the symptoms.
The symptoms of testicular pain vary from cause to cause. Infections can cause severe pain in the testicles. Even like a knife cut, accompanied by fever and cold and other systemic symptoms, this time the scrotum is red and swollen, touching the testicles, the pain is more obvious. When suffering from tuberculosis infection, mostly accompanied by a history of tuberculosis in the urinary system or other parts of the body, manifested by vague pain in the testicles, abdominal distension and swelling of the scrotum, and in severe cases, pus will flow out, when touching these lesions, there are bumpy nodules, hard, and often can be adhered to the skin of the scrotum. The pain in the testicles caused by prostatitis is often accompanied by a feeling of discomfort in the perineum, as well as frequent urination, urgency, pain and difficulty in urination.
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