Orchialgia: Difference between revisions
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Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain: | Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain: | ||
* | * Onset can be sudden or gradual | ||
* Site: Unilateral or bilateral | * Site location: Unilateral or bilateral (bilateral testicular pain is more commonly seen) | ||
* Intermittent or constant: | * Intermittent or constant: Pain is usually intermittent and can shift from one side to the other. | ||
* Type of pain: Patients usually have deep aching pain. | * Type of pain: Patients usually have deep aching pain. | ||
* Associated symptoms: | * Associated symptoms: | ||
**Local area [[redness]], warmth and [[swelling]] can be seen in case of [[testicular torsion]] or [[infection]]s. | **Local area [[redness]], warmth and [[swelling]] can be seen in case of [[testicular torsion]] or [[infection]]s. | ||
**Associated [[back pain]] and pain in [[inguinal]] area may be seen. | **Associated [[back pain]] and pain in [[inguinal]] area may be seen. | ||
** [[Epididymitis]] is often accompanied by symptoms of a [[urinary tract infection]], fever, and in over half of cases it presents in combination with [[orchitis]]. | ** [[Epididymitis]] is often accompanied by symptoms of a [[urinary tract infection]], [[fever]], and in over half of cases it presents in combination with [[orchitis]]. | ||
* Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain. | * Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain. | ||
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==Treatment== | ==Treatment== | ||
===Medical Therapy=== | ===Medical Therapy=== | ||
Treatment is often with [[NSAIDs]] and [[antibiotics]] | Treatment is often with [[NSAIDs]] and [[antibiotics]]. However, this is not always effective.<ref name=PC2010>{{cite journal |author=Wampler SM, Llanes M |title=Common scrotal and testicular problems |journal=Prim. Care |volume=37 |issue=3 |pages=613–26, x |year=2010 |month=September |pmid=20705202 |doi=10.1016/j.pop.2010.04.009 |url=}}</ref> | ||
==Related Chapters== | ==Related Chapters== | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{Symptoms and signs}} | {{Symptoms and signs}} | ||
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[[Category:Symptoms]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 23:26, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Orchialgia is chronic pain of the testicles or scrotum that typically lasts for more than three months.
Causes
Common Causes
- Cancer
- Injury
- Orchialgia is a possible complication after vasectomy.
- Surgery
- Testicular torsion
Diagnosis
History and Symptoms
Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain:
- Onset can be sudden or gradual
- Site location: Unilateral or bilateral (bilateral testicular pain is more commonly seen)
- Intermittent or constant: Pain is usually intermittent and can shift from one side to the other.
- Type of pain: Patients usually have deep aching pain.
- Associated symptoms:
- Local area redness, warmth and swelling can be seen in case of testicular torsion or infections.
- Associated back pain and pain in inguinal area may be seen.
- Epididymitis is often accompanied by symptoms of a urinary tract infection, fever, and in over half of cases it presents in combination with orchitis.
- Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.
Laboratory Findings
Testing for gonorrhea and chlamydia should be routinely performed.[1]
Treatment
Medical Therapy
Treatment is often with NSAIDs and antibiotics. However, this is not always effective.[1]
Related Chapters
References
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs