Testicular pain and the most frequent causes
Different causes can lead to creation of testicular pain, but the most common factor is the inflammation of the testicle and epididymis, especially in men over 18 years of age. This condition affects children very rarely and it can be caused by a bacteria or a virus. As for viruses, mumps can be dangerous in puberty because it attacks testicles. Also, one of the main causes of testicular pain is urinary infection, which can complicate and induce testicular pain.
If testicle inflammation happens often, doctors should check for congenital malformation. Inflammation in large number of men affects both, right and left testicle and it is followed by pain, redness, fever, increased body temperature etc. Treatment includes antibiotics and analgesics, while plenty of rest is also recommended.
More causes of testicular pain
Another cause of testicular pain is edema of scrotum, which is full of connective tissue and therefore, swelling might occur easily. Edema is caused because of the infectious inflammation of the scrotum. Swelling and redness are present and if bacteria is involved, changes on the skin are possible, which also leads to a strong testicular pain. Depending on the cause, the antihistamines are prescribed, and cold bandages might be used, too. For bacterial edema of scrotum, testicle elevation is also important.
Another cause of testicular pain is trauma, especially in the teenage period, when the children are active the most. Next etiological factor could be torsion of the testicle, which happens often in infants and in adolescents. This condition occurs when the blood vessels and nerves that connect the testicle with surrounding environment twist around their axis. Testicular torsion may occur in the neonatal period as well, and even though it occurs in more than 10% of testicular torsions, in rare cases testicles can be saved.
Intravaginal torsion happens most often and it emerges in adolescent age. It happens to testicles that are not firmly attached in scrotum and there are usually some additional factors included, such as trauma, hyper activity, sudden change of outer temperature, etc. This torsion usually affects the left side, because the testicle handle is longer on that side. Damage inflicted on testicle tissue depends of the torsion level and the period of the torsion. This condition requires immediate surgery, because necrosis of the testicle might happen. Torsions inflict the most intensive testicular pain followed with nausea and vomiting, but swelling and redness are present, too.