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Varicocele might be noticed as soft lumps, usually above the testicle and mostly on the left side of the scrotum. [5] Right-sided and bilateral varicocele does also occur. Men with varicocele can feel symptoms of pain or heaviness in their scrotum. [5] Large varicoceles present as plexus of veins and may be described as a "bag of worms".
While one may expect the female to have an equal prevalence of pelvic compression syndrome due to the identical embryological origin of the valveless pampiniform plexus, this condition is thought to be underdiagnosed due to the broad differential of the pain pattern: unilateral or bilateral pain, dull to sharp, constant to intermittent pain worsening with any increase in abdominal pressure.
Another clinical study has shown that nutcracker syndrome is a frequent finding in varicocele-affected patients and possibly, nutcracker syndrome should be routinely excluded as a possible cause of varicocele and pelvic congestion. [10] In women, the hypertension in the left gonadal vein can also cause increased pain during menses. [10]
The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion (16%), torsion of a testicular appendage (46%), and epididymitis (35%). [4] In adults, the most common cause is epididymitis. [citation ...
The primary care physician may diagnose and manage benign causes of scrotal masses such as hydrocele, varicocele and spermatocele. However, if a "must not miss" diagnosis related to testicular masses such as testicular torsion, epididymitis, acute orchitis, strangulated hernia and testicular cancer is suspected, the family physician must refer ...
Pain in this region of the body can be associated with anxiety, depression and other psycho-social factors. In addition, this pain can have effects on activities of daily living or quality of life. Treatment can be symptomatic if the pathology is unknown and managed by physical therapy, counseling and medication.
This is an accepted version of this page This is the latest accepted revision, reviewed on 3 November 2024. Condition that arises during male sexual arousal when seminal fluid is not ejaculated "Blue balls" redirects here. For other uses, see Blue Ball. Medical condition Epididymal hypertension Other names Sexual arousal orchialgia The phenomenon manifests itself in the form of mild discomfort ...
Epididymitis and epididymo-orchitis are common causes of acute scrotal pain in adolescent boys and adults. At physical examination, they usually are palpable as tender and enlarged structures. Clinically, this disease can be differentiated from torsion of the spermatic cord by elevation of the testes above the pubic symphysis.