Orchialgia: Difference between revisions

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==Diagnosis==
==Diagnosis==
===History and Symptoms===
===History and Symptoms===
"The complaint is of a squeezing deep ache in the testis like the day after you got kicked there, often bilateral or alternating from one side to the other, intermittent, and, most commonly, associated with lower back pain.  Sometimes it feels like the testicle is pinched in the crotch of the underwear but trouser readjustment does not help. There may also be [[pain]] in the [[Inguinal canal|inguinal]] area but no [[nausea]] or other symptoms.  [[Back pain]] may be concurrent or absent and some patients have a long history of low back pain.  Onset of pain is commonly related to activity that would stress the low back such as lifting heavy objects.  Other stresses that might cause low back pain are imaginative coital positions, jogging, sitting hunched over a computer, long car driving, or other such positions of unsupported seating posture that flattens the normal [[lumbar lordosis]] curve."<ref name=baran>{{Cite book
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:
|title=Urogenital pain in clinical practice
 
|last=Granitisioti
* Onset: Onset can be sudden or gradual
|first=P.
* Site: Unilateral or bilateral, bilateral testicular pain is more commonly seen.
|authorlink=
* Intermittent or constant: It is usually intermittent pain, and the pain shifts from one side to the other.
|editor1-last=Baranowski
* Type of pain: Patients usually have deep aching pain.
|editor1-first=Andrew Paul
* Associated symptoms:
|editor2-last=Abrams
**Local area [[redness]], warmth and [[swelling]] can be seen in case of [[testicular torsion]] or [[infection]]s.  
|editor2-first=Paul
**Associated [[back pain]] and pain in [[inguinal]] area may be seen.
|editor3-last=Fall
** [[Epididymitis]] is often accompanied by symptoms of a [[urinary tract infection]], fever, and in over half of cases it presents in combination with [[orchitis]].<ref name=AMP09/>  
|editor3-first=Magnus
* Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.
|edition=
|volume=
|chapter=Scrotal pain conditions
|year=2008
|origyear=
|page=
|pages=
|publisher=Informa Healthcare USA
|place=New York
|url=http://books.google.com/books?id=ZGA5vzK3V4cC&pg=PA238&dq=%22chronic+epididymitis%22&hl=en&sa=X&ei=RqmJT7uEPaKoiAKYlN3lCw&ved=0CGIQ6AEwBA#v=onepage&q=%22chronic%20epididymitis%22&f=true
|accessdate=
|isbn=978-0849399329
|oclc=
}}</ref>{{rp|p.237}}


===Laboratory Findings===
===Laboratory Findings===

Revision as of 15:37, 8 March 2013

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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

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: Onset can be sudden or gradual
  • Site: Unilateral or bilateral, bilateral testicular pain is more commonly seen.
  • Intermittent or constant: It is usually intermittent pain, and the pain shifts from one side to the other.
  • Type of pain: Patients usually have deep aching pain.
  • Associated symptoms:
  • 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.[2]

Treatment

Medical Therapy

Treatment is often with NSAIDs and antibiotics however, this is not always effective.[2]

Related Chapters

References

  1. ↑
  2. ↑ 2.0 2.1 Wampler SM, Llanes M (2010). "Common scrotal and testicular problems". Prim. Care. 37 (3): 613–26, x. doi:10.1016/j.pop.2010.04.009. PMID 20705202. Unknown parameter |month= ignored (help)

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


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