Why is there a dull pain in the testicles?

Dull testicular pain may be caused by varicocele, epididymitis, testicular torsion, trauma or urinary system stones, etc. It can be relieved by rest and observation, anti-infective treatment, surgical reduction, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Varicocele

Varicocele is a common cause of testicular pain and may be related to venous valve insufficiency or prolonged standing. The typical symptom is a swollen feeling in the scrotum, which worsens after standing for a long time and can be relieved by lying down. In mild cases, symptoms can be improved by using a scrotal band to lift the scrotum, while in moderate to severe cases, high spermatic vein ligation is required. Intravenous active drugs such as Maizhiling tablets and diosmin tablets can be used.

2. Epididymitis

Inflammation of the epididymis caused by bacterial infection can cause persistent dull pain in the testicles, often accompanied by symptoms of fever and frequent urination. Escherichia coli is the main pathogenic bacteria and a urine culture test is required. The first choice for treatment is antibiotics such as levofloxacin tablets and cefixime dispersible tablets. In the acute stage, bed rest and ice application are required to relieve swelling. Epididymectomy may be required in patients with chronic relapses.

3. Testicular torsion

In case of sudden severe testicular pain, you need to be alert to testicular torsion, and the golden time for rescue is within 6 hours. The disease is related to abnormal attachment of the testicular tunica vaginalis and manifests as pain radiating to the groin, accompanied by nausea and vomiting. Surgical reduction and fixation should be performed immediately after diagnosis. Simultaneous fixation of both testicles can prevent recurrence. Delay in treatment may result in testicular necrosis requiring removal.

4. Traumatic factors

Sports impacts or straddle injuries can cause testicular contusion, and the degree of pain is related to the extent of the injury. Minor injuries can be relieved by bed rest and local cold compress. After 48 hours, hot compress can be used to promote the absorption of congestion. Severe hematoma requires puncture and drainage, and testicular rupture requires emergency surgical suturing. Strenuous exercise should be avoided during the recovery period.

5. Urinary system stones

Lower ureteral stones may radiate to the testicular area, causing referred pain, often accompanied by hematuria and urinary discomfort. Stones can be located through urinary tract ultrasound. For stones smaller than 6 mm, Paishi Granules and Tamsulosin Hydrochloride Sustained-release Capsules can be taken to promote their elimination. Larger stones require extracorporeal shock wave lithotripsy or ureteroscopy.

If you experience testicular pain, you should avoid strenuous exercise, long-term cycling and heavy physical labor, and wear loose cotton underwear to reduce friction. Pay attention to supplementing vitamin C and zinc in your diet, and limit the intake of spicy and irritating foods. Regularly self-examine changes in testicular shape and texture. If the pain lasts for more than 3 days or is accompanied by fever, hematuria and other symptoms, you must immediately go to the urology department for treatment.