Testicular pain can be an uncomfortable and often worrisome experience for men. When this pain becomes persistent or keeps recurring without a clear cause, it’s medically referred to as orchialgia. As a leading Urologist and Andrologist in Baner, Pune, Dr. S K Palash offers expert diagnosis and personalized treatment for patients suffering from this condition.
What is Orchialgia?
Orchialgia is defined as chronic or intermittent pain in one or both testicles that lasts for more than three months, even in the absence of an obvious trigger such as infection or trauma. This condition can significantly affect a person’s daily activities, emotional well-being, and sexual health.
Common Causes of Chronic Testicular Pain
There are several possible reasons why a man may experience long-term testicular pain:
Varicocele: Enlarged veins in the scrotum can cause a dull aching pain.
Past infections: Conditions like epididymitis (inflammation of the epididymis) can leave lingering pain.
Trauma: A previous injury to the scrotum or testicles.
Hernias: Especially inguinal hernias can refer pain to the testicular area.
Referred Pain: Issues like kidney stones or spinal problems may radiate pain to the testicles.
Post-vasectomy pain: Some men experience chronic discomfort after the procedure.
Idiopathic causes: In some cases, no specific cause is identified.
When Should You See a Urologist?
You should consult a urologist if you have:
Persistent or worsening pain
Swelling in the testicles
Pain associated with urinary symptoms like burning or frequency
Any noticeable lumps or changes in the testicle
Important: Sudden and severe testicular pain could indicate testicular torsion, a surgical emergency. Immediate medical attention is necessary.
Diagnosing Orchialgia
Proper diagnosis is key to effective treatment. Dr. S K Palash conducts a thorough clinical evaluation, which may include:
Scrotal ultrasound to assess testicular structure and blood flow
Urine tests to check for infections
Abdominal imaging to identify referred pain from nearby organs
These tests help rule out serious conditions like tumors or torsion and identify treatable causes.
Treatment Options for Orchialgia
The treatment approach depends on the underlying cause and severity of symptoms:
Antibiotics: If a bacterial infection is found
Supportive care: Use of scrotal support, anti-inflammatory medications, and lifestyle modifications
Treating varicocele: Surgical correction or embolization may be recommended
Nerve block or pain management therapies: For chronic pain without an obvious cause
Microsurgical Denervation of the Spermatic Cord (MDSC): A highly effective surgical option for patients with persistent, unexplained testicular pain
Epididymectomy or Orchiectomy: Rarely performed and only in cases where other treatments have failed
Is Orchialgia a Sign of Testicular Cancer?
Most cases of orchialgia are not cancerous, but it's important not to ignore persistent pain. Occasionally, a testicular tumor can present with mild discomfort. A simple ultrasound can help rule out this possibility.
Does Orchialgia Affect Fertility?
In some cases—particularly when associated with varicocele or chronic infections—orchialgia can impact fertility. Early evaluation and treatment are crucial to minimize long-term complications.
Is Surgery Always Required?
No. The majority of patients experience relief through non-surgical treatments such as medications, supportive care, or minimally invasive procedures. Surgery is considered only when conservative approaches are unsuccessful.
What is Microsurgical Denervation of the Spermatic Cord (MDSC)?
MDSC is a nerve-sparing surgical procedure that targets and interrupts the nerve pathways causing chronic testicular pain. It’s performed under magnification to preserve important structures and offers relief in a high percentage of patients with idiopathic orchialgia.
Home Remedies for Mild Testicular Discomfort
For mild or occasional pain, try the following:
Wear supportive underwear
Apply ice packs to reduce inflammation
Avoid heavy lifting or prolonged standing
Take anti-inflammatory medications as recommended
Orchialgia is a distressing but treatable condition. Whether your pain is mild or chronic, timely evaluation by a specialist is essential to rule out serious causes and begin appropriate treatment.
If you're experiencing ongoing testicular discomfort, consult Dr. S K Palash – Consultant Urologist & Andrologist in Baner, Pune – for expert care and advanced treatment options.
Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.
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