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Testicular pain may be of sudden onset or of long duration. [1] [2] Causes range from non serious muscular skeletal problems to emergency conditions such as Fournier gangrene and testicular torsion. The diagnostic approach involves making sure no serious conditions are present. Diagnosis may be supported by ultrasound, urine tests, and blood ...
Epididymitis is a medical condition characterized by inflammation of the epididymis, a curved structure at the back of the testicle. [1] Onset of pain is typically over a day or two. [1] The pain may improve with raising the testicle. [1] Other symptoms may include swelling of the testicle, burning with urination, or frequent urination. [1]
An epididymal cyst, a benign cystic fluid collection in the scrotum, usually manifests as a painless swelling on top of the testicle and can be inadvertently discovered during a physical examination. [2] The most typical clinical findings are scrotal mass and pain. [1]
In addition to pain, symptoms also include swelling, abdominal pain, nausea, vomiting, and a testicle in an unusual position—higher than normal or at an unusual angle—according to the Mayo Clinic.
Testicular conditions: Pain may radiate to the lower abdomen in cases of testicular torsion, epididymitis, or orchitis. Epididymitis is inflammation of the epididymis, a tube at the back of the ...
According to Prehn's sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion. [4] Negative Prehn's sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours.
[4] [2] In males, the phenomenon results in an uncomfortable testicular sensation. [5] It most often describes a temporary fluid congestion in the testicles or vulva, caused by prolonged sexual arousal without orgasm. [6] [7] The term epididymal hypertension is derived from the epididymis, a part of the male reproductive system. [8]
It is the most common cause of rapid onset testicular pain and swelling in people under 18 years old. [27] It occurs in about 1 in 4,000 to 1 per 25,000 males per year before 25 years of age; [ 2 ] [ 3 ] [ 16 ] but it can occur at any age, including infancy.