Men's Sexual Health | The Turek Clinic

Orchialgia

Relief from Chronic Scrotal Pain

Persistent pain or discomfort in the testicles or genitals can be very troubling. When the pain or discomfort is so intense that it interferes with your daily activities or quality of life, you should seek medical care. Identifying the root cause of testicular pain (clinically referred to as orchialgia) can be challenging and requires the knowledge and experience of a sexual and reproductive health expert like Dr. Paul Turek. Drawing from his many years of clinical experience, he will try to identify the cause of your pain and recommend a suitable plan of action to relieve the discomfort.


Common Causes of Scrotal and Genital Pain

  • Trauma or injury
  • Testicular torsion, or a twisting of the spermatic cord that restricts blood flow to the testicles
  • Infection or inflammation of the epididymis, the tube behind the testicles that stores and carries sperm to the vas deferens. Bacteria and tuberculosis are common infections in the genital tract.
  • Sexually transmitted diseases like chlamydia
  • An enlarged prostate
  • Orchitis, an inflammation of the testicle.
  • Varicocele – enlarged veins of the scrotum
  • Hydrocele – swelling that occurs when fluid accumulates in the sheath surrounding the testicle
  • Spermatocele – painful cysts that develop on the epididymis
  • Inguinal hernia, which occurs when part of the intestine protrudes through a weak area of the lower abdominal wall
  • Post-vasectomy pain syndrome
  • Ejaculatory duct obstruction
  • Prostatitis
  • Referred pain from the spine or hip

Diagnosing Orchialgia and Other Types of Genital Pain

Dr. Turek begins with a medical evaluation that includes a detailed discussion of your symptoms, a medical history and a physical examination. Depending on the type of pain, he may request you undergo a screening for sexually transmitted infections, a urine test an ultrasound or other imaging.


Finding Relief from Chronic Scrotal Pain

Dr. Turek’s philosophy in treating scrotal pain is to proceed from the least invasive to the most invasive therapies. To this end, often the first line treatment of scrotal pain is noninvasive treatments like anti-inflammatory medications and changes in physical activity.

If medical therapies are ineffective, and to help determine the origin of the pain, Dr. Turek may perform a spermatic cord block. This involves injecting a local anesthetic and steroid into the spermatic cord, or the structure that carries the vas deferens, nerves, blood vessels and lymphatics to the testicle. If the spermatic cord block temporarily eliminates the pain, microsurgical spermatic cord denervation (i.e., interrupting the nerve-containing structures) is an option for long-term pain relief.

Other treatment options for scrotal pain due to anatomical causes include:

  • Frenuloplasty to increase the movement of the penile skin and reduce pain during erections
  • Circumcision to reduce the risk of inflammatory and infectious diseases that may lead to pain
  • Spermatocelectomy to remove a spermatocele and reduce pressure on the testes
  • Microscopic spermatic cord neurolysis to surgically interrupt the nerves
  • Hydrocelectomy to remove a hydrocele that is causing discomfort
  • Epididymectomy to remove part or all of the epididymis
  • Orchiectomy to remove one or both testicles
  • Excision of a scrotal sebaceous cyst
  • Inguinal hernia repair to treat pain due to hernias

Contact The Turek Clinic

Board-certified urologist Paul Turek, M.D., offers a full range of solutions for persistent scrotal or genital pain. To discuss your symptoms and options with him, please request an appointment at The Turek Clinic today.