Testicular torsion : We use surgery to untwist the testicle in an attempt to save it. Any prolonged delay could cause the death of the testicle. Trauma : We either allow it to heal or operate on it to fix a ruptured testicle. Our treatment depends on the severity of the trauma. Post-vasectomy pain : We may prescribe you pain medication, operate to remove the nerves from the spermatic cord, or reverse the vasectomy. Neurologic disease : We treat the neurologic condition.
In some men, medications or other interventions do not work. For these cases, we perform a spermatic cord block. A spermatic cord block is a two-minute procedure where we grasp the spermatic cord through the skin and insert a small needle with local anesthesia into it. If the anesthesia makes the testicular pain better, we recommend proceeding with a microscopic denervation of the spermatic cord. For this procedure, we dissect the nerve inside the spermatic cord because it supplies the testicle with nerves.
Cutting this nerve can successfully reduce the pain by 50 percent or greater. In fact, more than 90 percent of our patients have seen a 70 to percent reduction in their pain. Most insurance plans will cover this procedure. However, check with your insurance company before scheduling the surgery. We perform this surgery in the operating room and make a small incision in the groin, similar to where a hernia repair is done.
If a hernia repai r was already done, we go through the previous scar. You can opt for local or general anesthesia before the surgery. The spermatic cord contains arteries, nerves, the vas deferens, and lymphatic vessels. We cut the nerves under an operating microscope and keep the testicular arteries, lymphatics, and vas deferens intact. We finish up by using dissolvable stitches and tissue glue to close the incision.
Expect bruising, swelling, tenderness, inflammation, and pain after surgery. Many men report an immediate change in the type of pain, from deep neuropathic pain to superficial inflammatory pain.
This postoperative pain will fade over time. For men who do not respond to therapies such as local injection or microscopic denervation of the spermatic cord, we will need a different approach to manage the pain. Chronic pain management is best left to doctors who specialize in treating pain. If you need clarification, please do not hesitate to discuss this issue with us. Contact our office at with any questions or concerns.
If you would like to see a specialist for testicular pain, you can call our office at to make an appointment. Researchers at University of Utah Health and around the world are continuing to investigate other ways that COVID can impact patients long-term — namely, erectile dysfunction in men.
But because the testicles are loosely attached to the body and are made of a spongy material, they can absorb most hits without permanent damage. Testicles, while sensitive, can bounce back pretty quickly. Minor injuries rarely have long-term effects. Also, sexual function or sperm production isn't likely to be affected by a testicular injury. You'll definitely feel pain if your testicles are struck or kicked, and you might also feel nauseated for a short time.
If it's a minor testicular injury, the pain should gradually ease in less than an hour and any other symptoms should go away.
To feel better, you can take a pain reliever, lie down, gently support the testicles with supportive underwear, and apply wrapped ice packs to the area. It's a good idea to avoid strenuous activity for a while and take it easy for a few days. These are symptoms of a much more serious injury that needs care as soon as possible. Serious testicular injuries include testicular torsion and testicular rupture. Testicular torsion is when the testicle twists around, cutting off its blood supply.
It's rare, and when it does happen it's often for no clear reason. Occasionally torsion is due to a serious trauma to the testicles or heavy activity. Testicular torsion is a medical emergency. It's most common in guys ages 12 to 18, so if you think it's happening to you, go to the emergency room right away. If doctors fix a torsion within 4 to 6 hours of when the pain starts, there's usually no lasting damage to the testicle.
A torsion that isn't fixed quickly is likely to lead to loss of the testicle or permanently reduced sperm production. Doctors sometimes fix a torsion manually by untwisting the testicle. If that doesn't work, they do a simple surgery. Testicular rupture is a rare type of testicular trauma. Home Care Non-urgent causes of testicle pain, such as minor injuries and fluid collection, can often be treated with home care.
The following steps may reduce discomfort and swelling: Provide support to the scrotum by wearing an athletic supporter. Apply ice to the scrotum. Take warm baths if there are signs of swelling. While lying down, place a rolled towel under your scrotum. Try over-the-counter pain relievers, such as acetaminophen or ibuprofen. Do NOT give aspirin to children.
Preventive measures to take: Prevent injury by wearing an athletic supporter during contact sports. Follow safe sex practices.
If you are diagnosed with chlamydia or another STD, all of your sexual partners need to be checked to see if they are infected. Make sure that children have received the MMR mumps, measles, and rubella vaccine. When to Contact a Medical Professional Sudden, severe testicle pain needs immediate medical care.
Call your provider right away or go to an emergency room if: Your pain is severe or sudden. You have had an injury or trauma to the scrotum, and you still have pain or swelling after 1 hour. Your pain is accompanied by nausea or vomiting. Also call your provider right away if: You feel a lump in the scrotum. You have a fever. Your scrotum is warm, tender to the touch, or red.
You have been in contact with someone who has the mumps. What to Expect at Your Office Visit Your provider will do an exam of your groin, testicles, and abdomen. Your provider will ask you questions about the pain such as: How long have you had testicular pain? Did it start suddenly or slowly?
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