Orchialgia: Difference between revisions

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Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain:
Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain:


* Onset: Onset can be sudden or gradual
* Onset can be sudden or gradual
* Site: Unilateral or bilateral, bilateral testicular pain is more commonly seen.
* Site location: Unilateral or bilateral (bilateral testicular pain is more commonly seen)
* Intermittent or constant: It is usually intermittent pain, and the pain shifts from one side to the other.
* Intermittent or constant: Pain is usually intermittent and can shift from one side to the other.
* Type of pain: Patients usually have deep aching pain.  
* Type of pain: Patients usually have deep aching pain.  
* Associated symptoms:  
* Associated symptoms:  
**Local area [[redness]], warmth and [[swelling]] can be seen in case of [[testicular torsion]] or [[infection]]s.  
**Local area [[redness]], warmth and [[swelling]] can be seen in case of [[testicular torsion]] or [[infection]]s.  
**Associated [[back pain]] and pain in [[inguinal]] area may be seen.
**Associated [[back pain]] and pain in [[inguinal]] area may be seen.
** [[Epididymitis]] is often accompanied by symptoms of a [[urinary tract infection]], fever, and in over half of cases it presents in combination with [[orchitis]].
** [[Epididymitis]] is often accompanied by symptoms of a [[urinary tract infection]], [[fever]], and in over half of cases it presents in combination with [[orchitis]].
* Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.
* Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.


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==Treatment==
==Treatment==
===Medical Therapy===
===Medical Therapy===
Treatment is often with [[NSAIDs]] and [[antibiotics]] however, this  is not always effective.<ref name=PC2010>{{cite journal |author=Wampler SM, Llanes M |title=Common scrotal and testicular problems |journal=Prim. Care |volume=37 |issue=3 |pages=613–26, x |year=2010 |month=September |pmid=20705202 |doi=10.1016/j.pop.2010.04.009 |url=}}</ref>
Treatment is often with [[NSAIDs]] and [[antibiotics]]. However, this  is not always effective.<ref name=PC2010>{{cite journal |author=Wampler SM, Llanes M |title=Common scrotal and testicular problems |journal=Prim. Care |volume=37 |issue=3 |pages=613–26, x |year=2010 |month=September |pmid=20705202 |doi=10.1016/j.pop.2010.04.009 |url=}}</ref>


==Related Chapters==
==Related Chapters==
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
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{{Symptoms and signs}}
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Latest revision as of 23:26, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Orchialgia is chronic pain of the testicles or scrotum that typically lasts for more than three months.

Causes

Common Causes

Diagnosis

History and Symptoms

Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain:

  • Onset can be sudden or gradual
  • Site location: Unilateral or bilateral (bilateral testicular pain is more commonly seen)
  • Intermittent or constant: Pain is usually intermittent and can shift from one side to the other.
  • Type of pain: Patients usually have deep aching pain.
  • Associated symptoms:
  • Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.

Laboratory Findings

Testing for gonorrhea and chlamydia should be routinely performed.[1]

Treatment

Medical Therapy

Treatment is often with NSAIDs and antibiotics. However, this is not always effective.[1]

Related Chapters

References

  1. 1.0 1.1 Wampler SM, Llanes M (2010). "Common scrotal and testicular problems". Prim. Care. 37 (3): 613–26, x. doi:10.1016/j.pop.2010.04.009. PMID 20705202. Unknown parameter |month= ignored (help)

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