Overview of testicular - Causes of testicular pain

Overview of testicular - Causes of testicular pain

There are many causes of pain in the testicles

Overview of testicles

While still in the womb, the testicles are located in the lower abdomen. Gradually, the testicles migrate through the abdomen into the scrotum (external sac that contains the testicles). These testes was connected to the abdomen by ligaments sperm, which contains a lot of blood and nerves.In the outer position of the testes are structurally separate connector called the epididymis sperm storage. Normally connected directly to the epididymis to the scrotum. But sometimes they are twisted.Cause testicular pain

1. Due to injury

Testicular trauma usually bring the ultimate pain for the employer. A direct blow to the scrotum, or a sudden accident causes the testicles to get help there. But normally, it causes temporary pain or only a few bruises. But sometimes trauma can cause significant injury that forced testicles requirements of emergency surgery such as:- A hematoma block: pregnant testicular blood collection.- Or remove the testicles.

2. Testicular torsion

Testicular torsion usually occurs when the testicle twists into the scrotum. When testicular torsion, blood vessels contained in the semen twisted rope also lead to an interruption of the blood supply to the testicle. Because blood contains oxygen, and testicles need oxygen to sustain life that the couple can lead to the "death" of a testicle. Therefore, testicular torsion, need urgent surgery to avoid endangering the testicles.The XY testicular torsion can occur at any age but most often occurs in the XY plane XY and neonatal puberty 12-18.

3. Inflammation of the epididymis

Inflammation of the epididymis caused by infection of the testicles. This is what causes testicular pain among young XY. In addition, inflammation of the epididymis due to other causes such as sexually transmitted diseases such as gonorrhea or chlamydia. Sometimes it is the cause of this anomaly in the urinary system and sex.

4. Testicular torsion part

This is a common cause of testicular pain in the XY plane. Almost all cases occur frequently in the age of 3-14 years.A small portion of the testicles is basically twisted path between the testis and epididymis. As a testicle, this structure may be a decrease in blood flow due to torsion, leading to testicular pain.
5. In addition to these reasons, there are many other causes of testicular pain condition


- Inguinal hernia can cause pain or swelling of the testicles until- Testicular tumor: A tumor rarely causes pain, but can cause the testicles. You can check for small pieces in the testes to detect testicular cancer.- Infections or bleeding in the abdomen: This rarely causes testicular pain but not without.

Wire twisted testicle

Show reel testicular can occur at any age, from infants to older men, but most often between the ages of 12-18

Normally, two testicular very flexible, can move up and down in the bag (scrotum) by a number of them in support. However, there is a ligament to prevent the testicles go a full cycle.


If a testicle rotates one or more of his verses, he will twist the sling, vasectomy and the circuit, which makes the whole system is swollen, bleeding in 4 to 6 hours or emergency will gangrene.

This can occur due to an accident, was injured while playing sports with intense or wear shoes too tight. But largely due to a malformation of the scrotum, the scrotum is missing a ligament to keep the testicles do not go too far.

Symptoms

- The patient suddenly felt a sharp pain in the scrotum, pain spreading to the kidneys and lower abdomen, nausea accompanying phenomena or vomiting, but no fever.

- Scrotum swollen, painful, unbearable pain if touched.

- Sometimes the pain occurs more slowly, each time more. In this case, your doctor may touch the scrotum to observe.

- Infants, scrotum swollen and purple, evil baby, cry and refused to eat. However, fever babies.

What should be done?

Patients should be sent immediately to the hospital for surgery.

Diagnosis and Treatment

After identifying the patient, the doctor immediately for surgery to remove a testicular torsion, also check ligaments testicular second. If I had gangrene phenomenon, the removal of the testicles. Case of testicular ultrasound shows that slightly twisted, twisted professionals can be removed by hand without surgery.

Certificate of testicular torsion have a bad influence on the subsequent fertilization, both testicles are not twisted. 

Twisted spermatic cord

 Twisted spermatic cord or testicular torsion is a frequent urinary urgency.

 Spermatic cord is twisted by the testes is not firmly fixed, manually rotatable about its axis of locking part or all of the blood vessels to supply the testicles. Therefore, testicular necrosis.

Manifestations: sudden pain in the scrotum and pain is the most common symptom. The pain can be triggered in the night the patient to wake up. The pain may radiate to the groin and hips back. Touch testicular pain. The testicles twisted spermatic cord is usually located higher than the opposite side. Patients delay the scrotal skin swelling, bruising. Loss of scrotal skin reflex is a symptom of high specificity. Approximately 2% of patients can be twisted spermatic cord on both sides.

Twisted spermatic cord can occur at any age but is most common in 10-30 years, most are 13-15 years. United States, the incidence of torsion of the spermatic cord in people under 25 years is about 1/4.000.

Classification: There are two types of torsion of the spermatic cord in the desert crystal is common in adults and twisted spermatic cord on Mac frequent in children.

Diagnosis: There is a difference twisted spermatic cord with many other pathological causes of acute scrotal pain as orchitis, an inflammation of the epididymis, testicular trauma, inguinal hernia blocked ... So there is a rule to a patient with acute scrotal pain should think of the twisted spermatic cord until you get rid of this disease. Twisted spermatic cord diagnosis based mainly on clinical signs. Diagnostic imaging twisted spermatic cord by radiation and testicular color Doppler ultrasound to assess blood flow to the testicles.

Treatment: Once the diagnosis is confirmed or suspected twisted spermatic cord, it should be done immediately scrotal exploration is surgery to save the testicle. Testicular torsion can be removed and stored if the ischemia time less than 4 hours. If the patient is in arrears for more than 8 hours of the onset of pain, testicular damage is often irreversible.

Recognition is surgery scrotum gently surgery. Patients receiving spinal anesthesia and a small incision in the skin of the scrotum. After removing twisted testicle is attached to the scrotum to prevent twisting operation. When determining testicular necrosis, amputation of the testicles. If diagnosed early, the recovery rate of the testicles can reach 100%.

Therefore, if there is acute scrotum groin pain, male patients should be right specialist to be diagnosed and treated in time to avoid unjust lose a testicle due to a lack of understanding.

 

Overview of testicular torsion

 Testicular torsion - Dangerous but few people know

Normally, the testicles firmly fixed in the scrotum. But in some cases, these fixed points become loose (often associated with two testicles), causing the state of twisted spermatic cord. The disease usually occurs in infants and adolescents. If not treated early, it can cause infertility.

Infants, twisted spermatic cord with the expression:

Children saw a testicle, not pain, felt solid, the scrotal skin dark red or pale, lose wrinkles. There are cases where part of the scrotum blank due to testicular torsion must pass from the first.

 In adolescence:

Twisted spermatic cord presents with severe acute pain on one side of the scrotum, spread the groin or pelvis, nausea or vomiting. Inflammation of the scrotum, the increase in volume, swelling of the red skin lose wrinkles, press the pain.

To confirm the diagnosis of this disease:

The doctor will examine your specific clinical and registration of ultrasound to be able to directly see the spiral.


Twisted spermatic cord often bring serious consequences. Because the blood vessels of the testis is blocked should not be fed, very vulnerable. If delayed diagnosis and treatment, testicular necrosis or pus may be completely withered in a few months. Patients with a high risk of infertility, particularly in the case of testicular spermatic cord two sides are in turn twisted ...

The disease is a surgical emergency patients should be sent for examination and surgery soon. Surgery to remove the twist will help restore the blood supply to the testicle. The doctor also prevent recurrent torsion determined by the testicles, the testicles and spermatic cord twisted prevent contralateral fixed by it. Particularly infants, do not need urgent surgery to fix the remaining testicle, may delay this for a few months.

When you have surgery to remove twisted spermatic cord, patients are still at risk of testicular atrophy associated with malnutrition and secondary should be tested again after 6 months.