Testicular Pain - Diagnosis
Definition of testicular pain
Testicular pain or testicular pain refers to pain or discomfort that is felt on one or both testes . Pain may originate from the testicles themselves, or it may be the result of other conditions that affect the scrotum, groin or abdominal (stomach). Although there are many medical conditions that can cause painful testicles (testicular pain), it is important to understand that few of them are medical emergencies that require immediate medical attention in order to prevent loss of testicular function.
Fruit-function that belongs to the testicles.
Fruit-testicles form part of the male reproductive organs, with the primary function of producing sperm and male hormones testosterone.
Fruit-testicles contained in an external structure that resembles a sac called the scrotum, which is located between the penis and anus. Fruit-testes (testicles) the adult size were similar in the fruits of olives are great, and it is common for one testicle hanging lower than others in the scrotum. Conveniently located near the back of each testicle is the epididymis, a coiled structure that serves to store and transport sperm. Spermatic cord runs from the abdomen and connected to each testicle. Besides containing structures are vital to each of the testicles, spermatic cords are also hanging fruit testicles in the scrotum.
The cause of testicular pain .
There are some medical conditions that can lead to testicular pain. As already described, some of these conditions require emergency evaluation and management that in order to preserve testicular function.
Testicular torsion
This condition occurs when the testicles within the scrotum spontaneously twisted, leading to reduced blood flow to the affected testicle (from spin vessels within the spermatic cord). If the blood supply cut off for too long, the testicles will be permanently damaged. This condition is a medical emergency and requires immediate medical attention.
Testicular torsion typically occurs because of anomalies that affect the normal attachment of the testicles in the scrotum, often referred to as the Bell-Clapper deformity. These abnormalities allow the testicles hang freely and spontaneously twisted. Often, this anomaly is present in both testicles. Trauma to the testicles is a rare cause of testicular torsion.
Testicular torsion is most common in men younger than 30 years of age, with incidence peaks between ages 12-18 years. He can also occur more frequently during the neonatal period. Testicular torsion most often affects the left testicle.
Epididymitis
In men who are sexually active, the most common cause of infectious organisms that are sexually transmitted Chlamydia trachomatis and Neisseria gonorrhoeae. In individuals younger and older, the infection usually caused by bacteria found in the urinary system, such as Escherichia coli. Infection in this age group is typically a result of abnormalities in the genitourinary system.
Torsion of a testicular appendage
This condition occurs with torsion (twist) of testicular or epididymal appendage appendage, the structures are not functioning that are the remnants of the human development network. Testicular appendage located between the testicles (testes) and the epididymis, while epididymal appendage is typically a projection of the epididymis. As with testicular torsion, twist of the structures leads to the reduction of blood flow and testicular pain that follows. It is a condition common in boys who were younger, with most cases occur between ages 7 to 14 years. Although this condition is harmless and goes away, it must be distinguished from testicular torsion is more serious.
Trauma
Any type of trauma or injury to the fruit of the testicles can cause severe pain and discomfort. The most common mechanism of testicular trauma occurs from blunt trauma (~ 85%), which can occur from sports injuries, a direct kick into the area, car accidents, and straddle injuries (straddle). In most instances, the pain will get better with time. However, in some instances, trauma to the testicles fruit can cause injuries more severe requiring immediate medical attention.
Testicle rupture: a serious injury in the testicles resulting from interference with the connective tissue that surrounds the testicles (tunica albuginea), leading to extrusion of the testicular tissue. These injuries are often accompanied by blood collection (hematocele) that surrounds the testicles.
Other types of injuries to the testicles, including penetrating wounds and dislocations testicles.
Inguinal hernia
Inguinal hernia is the protrusion of the intestine through the abdominal wall muskulatur damage from the groin area. This protrusion can sometimes cause painful swelling of the scrotum and testicles.
Orchitis
This condition is characterized by inflammation of the testicles, is typically a result of infection. Most cases of orchitis arising from viral infection, with mumps is the most common cause of disease. Mumps orchitis is most common in children less than age 10 years. Less commonly, orchitis may occur from bacterial infection, most often as a result of epididymitis (epididymo-orchitis).
Kidney Stones
Sometimes, the pain associated with kidney stones may spread into the groin area and cause testicular pain.
Testicular tumors .
Although generally not painful, tumors of the testicles . can sometimes cause pain and discomfort of the testicles.
Signs and symptoms of conditions that cause pain testicles.
Because there are many medical conditions that can lead to testicular pain, symptoms and signs may vary depending on the underlying cause. However, often the symptoms can be very similar between the many causes, making it difficult ntuk distinguish between conditions that require emergency medical attention. Therefore, if you have pain testicles, looking for immediate medical evaluation by a physician.
Diagnose the causes of testicular pain
In order to diagnose the underlying conditions that cause testicular pain, history and physical examination will be fully carried out by a doctor. Laboratory testing and imaging studies (imaging) may also be ordered depending on the initial impression and evaluation of the physician.
Laboratory testing may include:
* Blood work
* Urinalysis
Imaging tests may include
Ultrasonography
Non-invasive imaging studies that can evaluate blood flow to the testicles (the testicles fruit), as well as the presence of testicular tumors, fluid collections, hernia, hernia, and kidney stones (renal ultrasound).
Radionuclide imaging
Imaging studies that require inclusion of radionuclide intravenously, is useful for the evaluation of testicular torsion, as well as other causes of testicular pain.
CT scan or kidney / ureter / bladder (KUB) X-ray
Imaging studies are sometimes used to diagnose kidney stones.
For certain testicular pain, such as highly suggest testicular torsion, a urologic consultation should be obtained immediately prior to testing in order to prevent potential delays in operation management decisive.
Treatments For Painful testicles (Testicular Pain)
Treatment for testicular pain varies depending on the underlying cause. As already noted, some of the conditions which cause testicular pain is an emergency-medical emergency requiring immediate surgical intervention.
Prevent Painful testicles (Testicular Pain)
There are few steps you can take to prevent certain causes of testicular pain. However, many of the causes can not be totally prevented.
* To epididymitis or orchitis caused by bacterial diseases transmitted sexually, the use of condoms can reduce the risk of transmission
* Use the proper protective gear during sports activities can prevent trauma to the testicles.
* Mumps immunization can reduce the incidence of viral orchitis Adri.
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