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Pain in testicles
Also known as Testicle Pain, Testes Pain, Orchialgia, Painful scrotum, Scrotal pain, and Scrotum pain
Orchialgia is long-term pain of the testes. Orchialgia may be caused by injury, infection, surgery, cancer or testicular torsion and is a possible complication after vasectomy. One author describes the syndromes of chronic testicular pain thus:
Source: WikipediaWhat causes it?
The most common causes of pain in testicles are epididymitis, varicocele of the testicles, and hydrocele of the testicle. Other possible causes, such as erectile dysfunction, are more rare.
What symptoms are related?
Within all the people who go to their doctor with pain in testicles, 58% report having swelling of scrotum, 33% report having sharp abdominal pain, and 29% report having side pain.
- Swelling of scrotum strong predictor 58
- Sharp abdominal pain 33
- Side pain 29
- Groin pain strong predictor 23
- Lower abdominal pain 23
- Penis pain strong predictor 17
- Lower body pain 14
- Mass in scrotum strong predictor 14
- Impotence 9
- Penile discharge strong predictor 7
- Symptoms of the scrotum and testes strong predictor 6
- Pain of the anus 6
What might my doctor prescribe?
Common Tests and Procedures
Patients with pain in testicles often receive urinalysis, radiographic imaging procedure, intravenous fluid replacement, x-ray computed tomography, kidney function tests, ultrasonography, rectal examination and liver function tests .
Common Medications
The most commonly prescribed drugs for patients with pain in testicles include doxycycline, diatrizoate, acetaminophen / aspirin / caffeine, mannitol / sorbitol, procainamide, asenapine (saphris), decitabine, diphenoxylate (lomotil), acetaminophen / dextromethorphan / doxylamine, tigecycline, clavulanate / ticarcillin, abacavir / lamivudine / zidovudine and triazolam (halcion) .
| Doxycycline | $11 (14 days) | |
| Diatrizoate | ||
| Procainamide | ||
| Asenapine (Saphris) | $439 (28 days) | |
| Decitabine | ||
| Diphenoxylate (Lomotil) | ||
| Tigecycline | $931 (7 days) | |
| Triazolam (Halcion) | $13 (28 days) |
Who is at risk?
Groups of people at highest risk for pain in testicles include age 30-44 years, sex == male and age 15-29 years. On the other hand, sex == female and age < 1 years almost never get pain in testicles.
Age
| < 1 years | 0.0x | |
| 1-4 years | 0.2x | |
| 5-14 years | 0.9x | |
| 15-29 years | 1.5x | |
| 30-44 years | 1.6x | |
| 45-59 years | 1.0x | |
| 60-74 years | 0.7x | |
| 75+ years | 0.2x |
Sex
| Male | 2.4x | |
| Female | 0.0x |
Race/Ethnicity
| Black | 0.9x | |
| Hispanic | 1.3x | |
| White | 1.0x | |
| Other | 0.8x |
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