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Testicular Pain / Scrotal Pain


Diagnosis, Treatment, Prevention

Physician-developed and -monitored.

Original Date of Publication: 15 May 2007
Reviewed by: Stanley J. Swierzewski, III, M.D.
Last Reviewed: 15 May 2007

Original Source: http://www.urologychannel.com/testicular-pain/treatment.shtml

Important Facts

  • Prompt diagnosis of testicular/scrotal pain can help prevent serious complications
  • Diagnosis often involves physical exam, ultrasound, and lab tests, including urinalysis
  • Treatment for testicular pain depends on the underlying cause
  • Types of treatment include medications, ice packs, and wearing scrotal support

Home » Testicular Pain / Scrotal Pain » Diagnosis, Treatment, Prevention


Diagnosis



Doctors may use the following tests to determine the cause of pain in the testicles or scrotum:

  • Physical examination
  • Ultrasound of testicles
  • Urinalysis
  • Examination of prostate secretions

Depending on the initial findings and the patient history, additional tests may be used. These tests include magnetic resonance imaging (MRI) scan, prostate exam, urethral smear (to check for presence of chlamydia and gonorrhea), blood tests, and testicular scan. Exploratory surgery may be necessary if testicular torsion cannot be ruled out by other tests.

Treatment

Treatment for testicular or scrotal pain depends on the diagnosis. It may involve self-care at home, pain relief medication, antibiotics for a bacterial infection, untwisting of the testicles by a doctor, or surgery (e.g., to treat testicular torsion, hernia, varicocele). Self-care for scrotal pain may include over-the-counter pain relievers (e.g., ibuprofen), applying ice to the scrotum, reduced activity, placing a rolled towel under the scrotum while lying down, and wearing scrotal support.



Prevention

Some types of testicular or scrotal pain can be prevented. The following measures may be helpful:

  • Practice safer sex to prevent sexually transmitted infections.
  • Protect the scrotal area from injury by wearing a protective cup or athletic supporter while playing sports.
  • Limit repetitive stress on the perineum and pudendal nerve, which may occur with excessive bicycling or weight-lifting.
  • Perform regular testicular self-exams for early detection of tumors.
  • Promptly treat urinary tract infections (UTIs) and prostatitis, and address any underlying causes.
  • Learn about prevention of urinary tract infections and kidney stones.

Testicular Pain / Scrotal Pain, Diagnosis, Treatment, Prevention reprinted with permission from urologychannel.com
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