Orchialgia - Testicular Pain
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
- Referred pain from the spine or hip
Diagnosing Orchialgia and Other Types of Genital PainDr. 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
- 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