What is the disease of unilateral testicular dull pain?

Unilateral testicular pain may be related to diseases such as orchitis, epididymitis, varicocele, testicular torsion, or urinary tract stones. It is recommended to seek medical treatment promptly for a clear diagnosis and to carry out targeted treatment according to the cause of the disease.

1. Orchitis

Orchitis is mostly caused by bacterial or viral infection and can manifest as persistent dull pain in one side of the testicle, accompanied by redness, swelling and heat in the scrotum. In the acute stage, bed rest is required, and drugs such as cefaclor granules, levofloxacin tablets, and acetaminophen sustained-release tablets should be used under the guidance of a doctor. Chronic orchitis may recur, and triggers such as urinary tract infection need to be investigated.

2. Epididymitis

Epididymitis is often secondary to urinary tract infection. The pain often starts from the tail of the epididymis and spreads to the testicles. It can be accompanied by frequent urination and urgency. Treatment requires the use of azithromycin dispersible tablets, Relinqing capsules, celecoxib capsules and other drugs as directed by the doctor. In the acute stage, strenuous exercise should be avoided and a scrotal support belt should be used to reduce the feeling of swelling.

3. Varicocele

It is more common on the left side and manifests as dull pain in the testicles when standing and radiating to the groin, which can be relieved by lying down. Mild cases can be improved by wearing tight underwear, while severe cases require laparoscopic high spermatic vein ligation. Avoid standing for long periods of time and heavy physical labor, and use medications such as Maizhiling Tablets and Diosmin Tablets to improve circulation.

4. Testicular torsion

The sudden severe pain turns into persistent dull pain, often accompanied by nausea and vomiting, and emergency surgical reduction is required within 6 hours. Color Doppler ultrasound can confirm the diagnosis, and delay in treatment may lead to testicular necrosis. Testicular blood flow needs to be reviewed regularly after surgery to be wary of contralateral testicular torsion.

5. Urinary system stones

Lower ureteral stones may cause testicular reflex pain, often accompanied by hematuria or abnormal urination. It can be treated by extracorporeal shock wave lithotripsy or ureteroscopy lithotomy. When the pain is severe, diclofenac sodium suppositories, tamsulosin sustained-release capsules, Paishi granules and other drugs can be used to assist in stone expulsion.

If you experience unilateral testicular dull pain, you should avoid applying heat or taking painkillers on your own. It is recommended to record the pain characteristics, accompanying symptoms and duration. Pay attention to keeping your perineum clean and dry every day, choose breathable cotton underwear, and avoid riding or sitting for long periods of time. Suspend sexual intercourse during the acute phase, eat a light diet and drink plenty of water to promote metabolism. If the pain lasts for more than 24 hours or is accompanied by fever, you must seek emergency medical treatment.