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See more conditions. Request Appointment. Symptoms Testicle pain. Definition Causes When to see a doctor. Products and services. When to see a doctor By Mayo Clinic Staff. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Testicular torsion almost always requires surgery to correct.
In rare cases, the doctor might be able to untwist the spermatic cord by pushing on the scrotum, but most guys will still need surgery to attach both testicles to the scrotum to prevent torsion from happening in the future.
Usually, surgery for a testicular torsion doesn't require a stay in the hospital. If you have a torsion, you'll be taken into an operating room at the hospital or doctor's office. You'll most likely be given a painkiller and general anesthesia , meaning you'll be unconscious for the surgery.
A surgeon or urologist will make a small cut in the scrotum, untwist the spermatic cord, and stitch the testicles to the inside of the scrotum to prevent future torsions. When that's finished, the doctor will stitch up the scrotum, and the patient will be taken to a room to recover for an hour or two. The surgery to attach the testicles to the scrotum takes about 45 minutes.
There may be some pain, but it shouldn't be too bad. It's much better than the torsion. Sometimes, if the torsion goes on too long, doctors won't be able to save the affected testicle.
Doctors will need to remove it through a type of surgery called an orchiectomy. Guys need to skip strenuous activities like sports and sex or sexual stimulation like masturbation for a few weeks after testicular torsion surgery. Talk to your doctor about when it will be safe to go back to your normal activities. Guys who have a testicle removed might be able to get a prosthetic, or artificial, testicle a few months after the surgery.
Most guys will still be able to father children later in life with one working testicle, but it can help some guys to feel more confident about their appearance if they have a prosthetic testicle.
If you've had a testicle removed, don't despair. It's not the end of the world. However, not all wave therapy machines are equal. Urologist Dr. John Smith explains how the use of waves can Call or Request an Appointment Refer a Patient. Causes of Testicular Pain Many men deal with testicular pain at some point in their lives.
The causes of testicular pain are treatable and can include: trauma, infection, prior testicular surgery, testicular torsion , post-vasectomy pain , pelvic floor dysfunction , and neurologic disease.
Find a Men's Health Doctor. By Name By Location. Update Search. Testicular Pain Treatment We treat testicular pain by treating each of the causes for the condition. Microsurgical Denervation of the Spermatic Cord For this procedure, we dissect the nerve inside the spermatic cord because it supplies the testicle with nerves. Preparation for Surgery Make sure you follow these rules before undergoing surgery: Eat like you normally would the evening before your surgery. Do NOT eat or drink anything after midnight, including the morning of surgery.
If you have medication you need to take the morning before your surgery, only take them with a small sip of water. Wear loose, comfortable clothing. Procedure We perform this surgery in the operating room and make a small incision in the groin, similar to where a hernia repair is done. The entire surgery takes only one hour, which means you can go home the same day.
As with any procedure, there are risks to a spermatic cord denervation, such as: no pain relief, hydrocele formation fluid accumulation in the testicles , loss or compromise of the testis, and numbness of the scrotum and inner thigh on the operated side.
Make sure you take the following steps for a speedy recovery: For the first three days, take mg of Ibuprofen every eight hours and mg of Tylenol every six hours around the clock. Use narcotic pain medication only if needed. Ice the area for 20 minutes out of every hour to relieve pain.
No sex, masturbation, or lifting heavy objects more than 25 pounds for a week. To check for infection, your healthcare provider will order a urine culture. You may also need a swab to screen for sexually transmitted infections such as chlamydia and gonorrhea. If your doctor thinks a tumor may be causing pain, you may need blood tests to check for the tumor markers alpha-fetoprotein AFP and human chorionic gonadotropin HCG.
One of the most common tests for people with testicle pain is an ultrasound. The test can detect conditions like testicular cancer. With testicular torsion, a color Doppler ultrasound will show that blood flow to the testicle has stopped or slowed. If you have cancer, imaging tests like a computed tomography CT scan or magnetic resonance imaging MRI , will help your healthcare team to know what stage your cancer is.
If your healthcare provider thinks your back may be causing testicle pain, you may need images of your back, too. Not all pain in the testicle starts there. You may have referred pain, or pain that radiates from somewhere else. For example, a kidney stone may have become stuck in the lower ureter the tube draining the kidney , or you may have a pinched nerve. An MRI of your spine and a neurological exam can be used to locate a pinched nerve. It isn't always possible to find out what's causing the pain.
To diagnose the problem, you may need lab tests, imaging, and a physical exam. The most effective treatment to relieve the pain will depend on what's causing it.
Here are a few options that might be part of your treatment plan:. At-home therapies may help with some conditions. For instance, your healthcare provider may prescribe antibiotics to treat epididymitis. At home, you can elevate your scrotum, use ice, and take medications such as ibuprofen to help with pain.
For men with unexplained pain, other options may bring relief. You'll need to be patient, because it can take three months or more to recover:. Anti-inflammatory medications can relieve pain and some swelling.
Antibiotics are used to treat infections, such as epididymitis or Fournier's gangrene. To treat some conditions, you may need surgery. For example, with Fournier's gangrene, infected tissue has to be removed. Sometimes people also need surgery to repair or rebuild the damaged area. Torsion surgery aims to restore the blood supply to the testicles.
And most testicular cancers also involve surgery. With a nerve block, a urologist injects an anesthetic into the spermatic cord. If the anesthetic does take away the pain, it is likely the source of the pain is in the testicle. In some cases, a urologist may cut the nerves to the testicle to stop the pain. This is called microsurgical spermatic cord denervation.
If the nerve block does not relieve the pain, your urologist may refer you to a pain management specialist to explore other treatments. Testicle pain can come from infection, injury, blocked fluids, or another health condition.
Sometimes health professionals aren't able to find an exact cause. Treatment depends on the source of the problem. Surgery may be necessary in rare cases. Sometimes, cutting the nerve supply to the testicles stops the pain. Much of the time, simple at-home treatments can ease pain as you recover. This is especially true when it comes to chronic orchialgia, in which the "why" behind pain is not clear. In the vast majority of cases, testicle pain can be treated.
Be open to discussing your concerns with your healthcare provider. And of course, seek immediate medical care for any sudden and severe testicle pain. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life.
Scrotal pain: evaluation and management. Korean J Urol. What can we do for chronic scrotal content pain?
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