testicular nerve pain treatment

When should you see a doctor for testicular pain?

Testicular pain, lump or masses: When testicular pain is persistent and does not go away within two weeks, it is time to see a Urologist. Any masses, firmness or nodules on the testicles should be examined by a urologic specialist, due to the chance of testicular cancer.

How do I treat my testicular pain?

Treatment

• At-Home Treatments. Many causes of testicle pain can be treated or partially treated with at-home therapies. ...
• Medications. Besides anti-inflammatory medications, antibiotics are used to treat infectious-related causes of testicle pain, such as epididymitis or Fournier's gangrene.
• Surgery. ...
• Nerve Block and Cord Dennervation. ...

How to manage testicular pain?

Testicular Pain Treatment

1. When to Seek Immediate Medical Help. Pain is severe or sudden or radiates into the abdomen. ...
2. Treat Symptoms. For pain, take over-the-counter medication such as acetaminophen ( Tylenol) or ibuprofen ( Advil, Motrin ).
3. Provide Rest and Support. The person should wear supportive underwear. ...
4. Follow Up. ...

What are the most common reasons for testicular pain?

What can cause testicle pain?

• Most common cause types. The most common causes of pain in one testicle include the following. ...
• Less common cause types. ...
• Rare and unusual pain in one testicle causes. ...
• Epididymitis. ...
• Intermittent testicular torsion. ...
• Testicular torsion. ...
• Groin nerve irritation. ...
• Chronic prostatitis. ...
• Non-serious testicle injury. ...
• Groin hernia. ...

More items...

How long does testicular nerve pain last?

At times, scrotal pain can be vexing to treat, and some men may notice it may take 2-4 months until symptoms subside.

What does testicular nerve pain feel like?

Testicular pain can be either acute (sudden and short) or chronic (gradual and long-lasting). Aside from the sharp pain of sudden injury, your first symptom might be a dull ache that increases with time or with activity. Testicular pain can be severe because the testicles have many sensitive nerves.

What nerve causes testicle pain?

The iliohypogastric, ilioinguinal, genitofemoral, and pudendal nerves provide innervation and are involved in chronic scrotal pain. Irritation of these nerves by non-scrotal pathology results in referred pain to the scrotum.

Can nerve damage cause testicular pain?

Causes of testicle pain or pain in the testicle area can include: Diabetic neuropathy (nerve damage caused by diabetes) Epididymitis (testicle inflammation)

Can a pinched nerve cause testicle pain?

Pinched or compressed nerve Problems in your spine may be responsible for pain in your testicle and leg. For example, a pinched nerve in the spinal column can cause pain in nearby muscles and organs. It can also cause weakness, numbness, and tingling.

What medicine helps testicular pain?

These measures might help relieve mild testicle pain:Take an over-the-counter pain reliever such as aspirin, ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others), unless your doctor has given you other instructions. ... Support the scrotum with an athletic supporter.

Does testicle pain go away?

Sometimes, chronic testicular pain goes away on its own, but there is no way to predict if it will go away, or when it may return. Sudden testicular pain can signal an emergency and may be a dangerous condition. For sudden testicular pain, seek medical help immediately.

How to treat testicle pain?

For instance, in addition to prescribed antibiotics, epididymitis can be treated with scrotal elevation, ice, and a nonsteroidal anti-inflammatory like ibuprofen to reduce pain. 17 .

What is the pain in the testicles?

An Inguinal Hernia. Testicle pain may occur when a part of your intestines protrudes (herniates) into the scrotum with the testicles. An inguinal hernia may only be visualized as a groin bulge when a person coughs or lifts something heavy and can be confirmed on physical exam or by imaging. 6.

Why does epididymitis cause chills?

Along with testicular pain, epididymitis causes swelling and in severe, rare cases, a fever and chills. 4  Most of the time, epididymitis results from a urinary tract infection or sexually transmitted disease, but it can also occur as a result of trauma or an autoimmune condition.

What is the best test for testicular pain?

Imaging. The hallmark imaging test for examining testicle pain is a scrotal ultrasound, which can detect abnormalities like testicular cancer. With testicular torsion, a color Doppler ultrasound reveals decreased or absent blood flow to the testicle. 15.

How to treat a swollen testicle?

Treatment depends on the source of the problem. Antibiotics and anti-inflammatory medications are often part of the plan. Surgery may be necessary in rare cases. Sometimes, the nerve supply to the testicles may be cut to stop the pain.

What is the pain of a vasectomy?

After a vasectomy, a person may notice firmness within the epididymis (called congestive epididymitis) or a painful nodule called a sperm granuloma, which represents sperm leakage in the testicle. 7 Both conditions can cause discomfort. Nerve entrapment after a vasectomy surgery may also cause testicle pain.

How to stop muscle pain from a hot bath?

Avoid aggravating sore muscles. Heat: Using a heating pad or sitting in a hot bath can stimulate blood flow and soothe muscle aches. Anti-inflammatories: Nonsteroidal anti-inflammatories (NSAIDs) like ibuprofen can reduce pain. Tight-fitting underwear: Wearing it helps restrain movement and the pain it can cause.

Examination findings in neuropathic testicular pain

On examination, there was tenderness at the top of the testicle and an increase in temperature. There was no hernia present. There was also no pain on light touch (allodynia) or pain on prick sensation (hyperalgesia). Of note, when he coughed or sat forward, the left testicle contracted noticeably.

Treatment of neuropathic testicular pain

He was started on Pregabalin 75 mg twice per day. He was seen approximately once month later but unfortunately, had got no benefit with the Pregabalin. It was then decided to then move on to interventional pain management in the form of a combined ilioinguinal and iliohypergastric block.

Outcome following treatment for neuropathic testicular pain

This was done and at follow up, approximately 8 weeks later, all his pain symptoms had disappeared although one testicle was still contracted. He was very happy that the pain had disappeared and we agreed to discharge him from the clinic.

Why is it important to cut the nerve inside the testicle?

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.

What test is done to check for testicular pain?

We may even run a urine test, scrotal ultrasound, or blood test to confirm the cause of your testicular pain.

What is 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.

How long does it take to block spermatic cord?

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.

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Can you denervate testicular cord?

If the anesthesia makes the testicular pain better, we recommend proceeding with a microscopic denervation of the spermatic cord.

What Is Testicular Pain?

Testicular pain or testicle pain is pain that is experienced in one or both testicles. Depending on the cause, pain can sometimes begin in nearby areas of the groin or lower abdomen. If you are experiencing testicular pain, it could be a result of an injury to the testicular region or a symptom of a number of conditions of varying seriousness. If you are experiencing pain in your testicles, it should be addressed immediately to avoid potential long-term effects.

What Are The Risks If Testicular Pain Is Left Untreated?

If untreated, an infection like chlamydia or a condition like testicular torsion can cause permanent damage to the testicular area. This can include loss of fertility or reproductive function or a secondary infection that may be life-threatening.

What Are The Risk Factors With Pain In The Testicles?

If you have had testicular pain that abated on its own in the past, it is likely to re-occur. Hereditary factors also apply, so if other members of your family have had testicular torsion in the past, you may be at higher risk.

What Are The Possible Treatments?

Our team of physiatrists has developed a series of external ultrasound-guided trigger point injections to help. This treatment allows for space to be created within the knots of formed in the pelvic floor muscles. Infections causing testicular pain can usually be treated by the use of antibiotics.

What nerve blocks are used for testicular pain?

Some peripheral nerve blocks include ilioinguinal, iliohypogastric, or genitofemoral nerve blocks. These can be very beneficial in those who suffer from chronic testicular pain.

How many treatments are there for testicular pain?

Whether chronic or acute, there are generally eight treatments for testicular pain:

What is testicular pain?

Testicular pain can originate in the testicle itself or as referred pain from another part of the body (including the tissues and structures surrounding the testicle).

Why do my testicles hurt?

There are a variety of causes of testicular pain, with the most common being trauma to the testicles (usually during physical activity and most commonly occurring in younger men). Minor trauma typically causes only temporary pain, with any lingering side effects diminishing quickly.

How to diagnose testicular pain?

Diagnosis of the cause of testicular pain is generally achieved through a medical history and physical exam. An ultrasound may be necessary as well.

What is the emergency for testicular rupture?

Another case of emergency is testicular rupture, usually caused by trauma to the testicles. This is diagnosed by ultrasound and treated with surgery to ease swelling and remove damaged tissue.

Can frozen peas help with sore testes?

Ice (or, more frequently, frozen peas that conform to the body) can be very soothing to sore or swollen testes.

How to stop testicular pain?

Take over-the-counter painkillers. Acetaminophen and NSAIDs can provide quick relief for your testicular pain. To be safe, always double-check the dosage instructions, and don’t take more than the recommended amount of medication in a single day.

How to treat scrotum pain?

Wrap a cold pack or bag of ice in a towel or cloth, so the ice doesn’t directly touch your skin. Then, apply the ice to your scrotum for 10-20 minutes at a time. If you don’t feel like applying ice, a warm bath can also help with the pain.

Why does my testicles hurt so bad?

Sudden, extreme testicular pain might be caused by testicular torsion, or when one of your testicles twists and doesn’t get enough circulation. Testicular torsion is really serious, and needs to be examined and treated by a doctor right away.

What causes a lump on the top of my left testicle?

1. It’s probably testicular torsion or another injury. Testicular torsion tends to pop up in your left testicle, and doesn’t usually occur in both. It could also be a case of testicular appendage torsion, where you’ll notice a lot of pain in 1 testicle, as well as a distinct, firm lump on top.

What causes a testicle to swell?

For example, epididymitis occurs when the back of your testicles swell or hurt. Gonorrhea and chlamydia can both cause this.

How long does it take for testicle pain to go away?

1. Call your regular doctor if the pain lasts for a few days. A few hours or even a couple of days of mild testicle pain is one thing, but day after day of pain definitely isn’t normal. A doctor can help you figure out what’s going on, and suggest a helpful treatment plan.

What to do if microsurgical denervation doesn't work?

Figure out a pain management plan with your doctor. If other treatments don’t work, your primary doctor can help you outline a long-term plan, so you’ll have the pain medication that you need. A pain management plan is typically used as a last resort, if treatments like microsurgical denervation don’t work.