Orchalgia

Orchalgia is a medical term referring to chronic testicular pain, a condition that can affect males of any age. The pain can vary from mild to severe and can be constant or intermittent. Orchalgia can significantly impact the quality of life, causing psychological distress and physical discomfort. The condition is complex and can be caused by various factors, making diagnosis and treatment challenging.

Causes[edit | edit source]

Orchalgia can be idiopathic, meaning its exact cause is unknown, or it can be secondary to other conditions. Some common causes include:

Testicular torsion
Epididymitis or orchitis
Inguinal hernia
Varicocele
Hydrocele
Trauma or injury to the testicles
Nerve damage or neuropathy
Vasectomy or other surgeries

Symptoms[edit | edit source]

The primary symptom of orchalgia is pain in one or both testicles. This pain may be described as aching, sharp, or throbbing. Other symptoms can include:

Swelling or heaviness in the testicle(s)
Tenderness to touch
Radiating pain to the groin or abdomen

Diagnosis[edit | edit source]

Diagnosing orchalgia involves a thorough medical history and physical examination. Additional tests may include:

Ultrasound of the testicles
Urinalysis to check for infection
MRI or CT scan in complex cases

Treatment[edit | edit source]

Treatment for orchalgia varies depending on the underlying cause. Options may include:

Pain management with medications such as NSAIDs
Antibiotics for infections
Surgery for conditions like varicocele or hernia
Physical therapy and scrotal support devices
Counseling or psychotherapy for psychological support

Prognosis[edit | edit source]

The prognosis for orchalgia varies. Some men find relief through treatment, while others may experience persistent pain. Ongoing management and support are crucial for improving quality of life.