What's the matter with sudden unilateral testicular pain?

We all know that every male has two eggs. The eggs we are talking about are the male scrotum.

A normal male has a scrotum on each side of the penis. The main function of the scrotum is to secrete male hormones. It can be said to be a male's sexual organ. Moreover, the scrotum contains male sperm, which has an appreciation effect. So what is the reason for sudden unilateral testicular pain?

The testicles are located in the scrotum, one on each side. The testicles secrete male hormones and play an important role in the development and maturation of male reproductive organs and the appearance of male secondary sexual characteristics. Under normal circumstances, testicles will not feel pain. If testicles feel pain, it means that the testicles are sick and need to be checked and treated in time. The following orchitis is a common cause of testicular pain. There are many causes of orchitis. For example, patients with mumps may develop orchitis, testicular pain and swelling. Gonorrhea is the sexually transmitted disease with the highest incidence rate, which can cause orchitis in severe cases. Chronic prostatitis can also cause testicular pain, which manifests as unilateral pain, mostly dull pain or pulling pain, which is continuous. Most patients are young and middle-aged people, and it is rare in the elderly.

Testicular torsion

Testicular torsion is one of the common emergencies in the scrotum. It can occur in people from newborns to 70 years old, 65% of which occur in people aged 12 to 19 years. It is usually caused by strenuous activities a few hours before the onset of the disease, or external force on the testicles. Sudden severe testicular pain during sleep or quiet time is the first symptom of the disease and one of the main diagnostic bases. Some patients also have nausea and vomiting, scrotal swelling, and obvious tenderness. It is generally believed that for testicular torsion treated within 6 hours, the testicular rescue rate can reach 80%, while for those treated after 24 hours, the rescue rate is only 20%. At this time, even if the testicle can be preserved, the function of the affected testicle is often damaged.

Testicular injury

The testicles are more mobile in the scrotum and are protected by a tough white membrane, so the chance of closed injury is small. Testicular injuries are mostly related to violence, car accidents, etc. After the injury, the testicles will be severely painful accompanied by nausea, vomiting, and even fainting or shock. During the physical examination, there will be swollen testicles, unclear contours or scrotal congestion, and obvious tenderness. B-ultrasound and CT not only help in the diagnosis of this disease, but also can determine the location and extent of testicular injury. The treatment principles for testicular injury are first sedation, analgesia, and anti-shock, and secondly, judging the degree of testicular injury and taking different treatment measures accordingly. Testicular ischemic pain

Testicular ischemic pain is more common in the elderly. The pain is severe, aggravated by activity and relieved by rest. Microscopic examination of prostatic fluid is normal. It is often caused by testicular arteriosclerosis leading to arterial stenosis. Testicular artery atherosclerosis is often a local manifestation of systemic vascular disease, mostly unilateral lesions, more common on the left side than on the right side.