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Testis, Pain (Orchalgia) Updated 4/2010

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Surgery
  • Additional Treatment | Radiotherapy
  • Complementary and Alternative Medicine

Ongoing Care

  • Prognosis
  • Complications
  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description
  • Testis or scrotal pain that is intermittent or constant, may be unilateral, bilateral, or bilaterally alternating and lasts >3 mo
  • A chronic condition that should be differentiated from acute pain associated with torsion, trauma, or epididymo-orchitis
  • Can remain localized to scrotum or radiate to groin, perineum, back, or legs
  • Dysuria or suprapubic pain alone is excluded from the definition
  • Etiology and treatment in many cases is poorly understood.
  • Synonym(s): Orchalgia, idiopathic testicular pain, orchiodynia, chronic scrotal pain syndrome
Epidemiology
  • Majority of patients present at around 35–40.
  • May be increased in men with psychological disturbance.
  • The prevalence of neurogenic-origin pain in the general population may be ~1%.
  • Prevalence of chronic testicular pain is characterized for ...

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See Also
Images >
123
Testicular torsion. A cut section of the testicle from a man who experienced sudden excruciating scrotal pain shows diffuse hemorrhage and necrosis of the testis and adnexal structures.Credit: Image from Rubin E MD and Farber JL MD. Pathology, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 1999.
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