Orchialgia
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Orchialgia is chronic pain of the testicles or scrotum that typically lasts for more than three months.
Causes
Common Causes
- Cancer
- Injury
- Orchialgia is a possible complication after vasectomy.
- Surgery
- Testicular torsion
Diagnosis
History and Symptoms
Patient usually complaints of deep aching pain in the testes. Following history has to be taken from a patient presenting with complaints of testicular pain:
- Onset: Onset can be sudden or gradual
- Site: Unilateral or bilateral, bilateral testicular pain is more commonly seen.
- Intermittent or constant: It is usually intermittent pain, and the pain shifts from one side to the other.
- Type of pain: Patients usually have deep aching pain.
- Associated symptoms:
- Local area redness, warmth and swelling can be seen in case of testicular torsion or infections.
- Associated back pain and pain in inguinal area may be seen.
- Epididymitis is often accompanied by symptoms of a urinary tract infection, fever, and in over half of cases it presents in combination with orchitis.
- Recent history of surgery and trauma to the local area needs to be elicited to know the cause of the pain.
Laboratory Findings
Testing for gonorrhea and chlamydia should be routinely performed.[1]
Treatment
Medical Therapy
Treatment is often with NSAIDs and antibiotics however, this is not always effective.[1]
Related Chapters
References
- ↑ 1.0 1.1 Wampler SM, Llanes M (September 2010). "Common scrotal and testicular problems". Prim. Care 37 (3): 613–26, x. doi:10.1016/j.pop.2010.04.009. PMID 20705202.
Symptoms and signs: circulatory (R00–R03, 785) | |||||||
|---|---|---|---|---|---|---|---|
| Cardiovascular |
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| Myeloid/blood |
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Symptoms and signs: respiratory system (R04–R07, 786) | |
|---|---|
| Hemorrhage | * Epistaxis |
| Abnormalities of breathing | ; Respiratory sounds: |
| Other | * Asphyxia |
| Chest, general | * Chest pain |
Symptoms and signs: skin and subcutaneous tissue (R20-R23, 782) | |
|---|---|
| Disturbances of skin sensation | Hypoesthesia - Paresthesia - Hyperesthesia |
| Other | Rash - Cyanosis - Pallor - Flushing - Petechia - Desquamation - Induration - Diaphoresis |
Symptoms and signs: nervous and musculoskeletal systems (R25-R29, 781) | |
|---|---|
| Abnormal involuntary movements (see also movement disorders) | Tremor - Spasm - Fasciculation - Athetosis |
| Gait abnormality | Scissor gait - Antalgic gait - Cerebellar ataxia - Festinating gait - Pigeon gait - Propulsive gait - Steppage gait - Stomping gait - Spastic gait - Myopathic gait - Magnetic gait - Trendelenburg gait |
| Lack of coordination | Ataxia (Cerebellar ataxia, Sensory ataxia) - Dysmetria - Dysdiadochokinesia - Hypotonia |
| Other | Tetany - Meningism - Hyperreflexia - Opisthotonus - Abnormal posturing - Hemispatial neglect |
Symptoms and signs: urinary system (R30-R39, 788) | |
|---|---|
| General | Renal colic - Dysuria - Vesical tenesmus - Urinary incontinence - Urinary retention - Oliguria - Polyuria - Nocturia - Extravasation of urine - Extrarenal uremia |
Symptoms and signs: cognition, perception, emotional state and behaviour (R40-R46, 780-781) | |
|---|---|
| General | Anxiety - Somnolence - Coma - Amnesia (Anterograde amnesia, Retrograde amnesia) - Dizziness/Vertigo |
| Olfaction | Anosmia - Parosmia |
| Taste | Ageusia - Parageusia |
Symptoms and signs: Speech and voice (R47-R49, 784) | |
|---|---|
| Aphasia/Dysphasia | Expressive aphasia - Receptive aphasia - Conduction aphasia |
| Other speech disturbances | Dysarthria - Schizophasia |
| Symbolic dysfunctions | Dyslexia - Alexia - Agnosia (Prosopagnosia) - Apraxia - Acalculia - Agraphia |
| Voice disturbances | Dysphonia - Aphonia |
Symptoms and signs: general (R50-R69, 780-789) | |
|---|---|
| General | Fever (Hyperpyrexia) - Headache - Chronic pain - Malaise/Fatigue (Asthenia, Debility) - Fainting (Vasovagal syncope) - Febrile seizure - Shock (Cardiogenic shock) - Lymphadenopathy - Edema (Peripheral edema, Anasarca) - Hyperhidrosis (Sleep hyperhidrosis) - Delayed milestone - Failure to thrive - Short stature (Idiopathic) - food and fluid intake (Anorexia, Polydipsia, Polyphagia) - Cachexia - Xerostomia - Clubbing - Tenderness |
Symptoms and signs: Symptoms concerning nutrition, metabolism and development (R62–R64, 783) | |
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| Ingestion/Weight | |
| Growth | Delayed milestone • Failure to thrive • Short stature (e.g., Idiopathic) |
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