Business Description
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How is testicular pain treated?
The treatment will depend on the underlying cause. Treatment may require use of medications, or in more serious cases, surgery may be required.
Medications
1.Pain relievers: Acetaminophen (Tylenol
®, for example) or non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, naproxen, and similar
drugs may help to relieve pain in cases due to injury or trauma.
2.Antibiotics or anti-infective medications: Orchitis or epididymitis that is caused by a bacterial infection should be treated with antibiotics, usually for at least
10 days. Doxycycline and quinolones are usually preferred and may be given up to four weeks.
3.Tricyclic antidepressants: Oral medications such as amitriptyline or nortriptyline may be prescribed.
Surgery
In certain situations, such as testicular torsion or testicular cancer, surgery may be needed. Testicular torsion is an urgent condition that must be treated promptly
to avoid the loss of a testicle from loss of blood supply. Damage can occur after six hours if the blood flow is cut off. Almost 75% of patients must have a testicle
removed if surgery is not performed within 12 hours. Types of surgery for testicular pain depending on the cause include:
1.Testicular de-torsion: This procedure is performed to untwist the spermatic cord and restore blood flow. It may be done in the emergency room, but usually an
operation is needed to untwist the cord and prevent torsion from recurring. Stitches are sewn around the testicle to keep torsion from recurring. The opposite side,
even if not involved, needs to be stitched as well to prevent future torsion.
2.Epididymectomy: Surgical removal of the epididymis may be required when the pain originates only in this structure.
3.Vasovasostomy: The complete or partial reversal of a vasectomy in men who develop orchialgia after having a vasectomy.
4.Microdenervation of the spermatic cord (MDSC): This is a surgical procedure performed under anesthesia. The surgeon uses an operating microscope to dissect and cut
nerves that pass through the spermatic cord.
5.Orchiectomy: A small number of patients who are not helped by drugs or less invasive procedures may need to have a testicle removed. This procedure has a high
failure rate.
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