Orchialgia: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
===History and Symptoms=== | ===History and Symptoms=== | ||
"The complaint is of a squeezing deep ache in the testis like the day after you got kicked there, often bilateral or alternating from one side to the other, intermittent, and, most commonly, associated with lower back pain. Sometimes it feels like the testicle is pinched in the crotch of the underwear but trouser readjustment does not help. There may also be pain in the [[Inguinal canal|inguinal]] area but no nausea or other symptoms. Back pain may be concurrent or absent and some patients have a long history of low back pain. Onset of pain is commonly related to activity that would stress the low back such as lifting heavy objects. Other stresses that might cause low back pain are imaginative coital positions, jogging, sitting hunched over a computer, long car driving, or other such positions of unsupported seating posture that flattens the normal | "The complaint is of a squeezing deep ache in the testis like the day after you got kicked there, often bilateral or alternating from one side to the other, intermittent, and, most commonly, associated with lower back pain. Sometimes it feels like the testicle is pinched in the crotch of the underwear but trouser readjustment does not help. There may also be [[pain]] in the [[Inguinal canal|inguinal]] area but no nausea or other symptoms. [[Back pain]] may be concurrent or absent and some patients have a long history of low back pain. Onset of pain is commonly related to activity that would stress the low back such as lifting heavy objects. Other stresses that might cause low back pain are imaginative coital positions, jogging, sitting hunched over a computer, long car driving, or other such positions of unsupported seating posture that flattens the normal [[lumbar lordosis]] curve."<ref name=baran>{{Cite book | ||
|title=Urogenital pain in clinical practice | |title=Urogenital pain in clinical practice | ||
|last=Granitisioti | |last=Granitisioti | ||
Revision as of 16:07, 25 February 2013
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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
- Injury
- Surgery
- Cancer
- Testicular torsion
- Orchialgia is a possible complication after vasectomy.
Diagnosis
History and Symptoms
"The complaint is of a squeezing deep ache in the testis like the day after you got kicked there, often bilateral or alternating from one side to the other, intermittent, and, most commonly, associated with lower back pain. Sometimes it feels like the testicle is pinched in the crotch of the underwear but trouser readjustment does not help. There may also be pain in the inguinal area but no nausea or other symptoms. Back pain may be concurrent or absent and some patients have a long history of low back pain. Onset of pain is commonly related to activity that would stress the low back such as lifting heavy objects. Other stresses that might cause low back pain are imaginative coital positions, jogging, sitting hunched over a computer, long car driving, or other such positions of unsupported seating posture that flattens the normal lumbar lordosis curve."[1]:p.237
Laboratory Findings
Testing for gonorrhea and chlamydia should be routinely performed.[2]
Treatment
Medical Therapy
Treatment is often with NSAIDs and antibiotics however, this is not always effective.[2]
Related Chapters
References
- ↑ Granitisioti, P. (2008). "Scrotal pain conditions". In Baranowski, Andrew Paul; Abrams, Paul; Fall, Magnus. Urogenital pain in clinical practice. New York: Informa Healthcare USA. ISBN 978-0849399329.
- ↑ 2.0 2.1 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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