Pain in the groin in men - pulling, aching, sharp, dull and sharp

The joints of the pelvis and lumbosacral region account for almost all the load from the weight of the upper half of the body. In males, it is more massive than in females. Pain in the groin on the right in men (or on the left) can indicate a variety of diseases. From myositis, appendicitis and arthrosis of the hip joint to the "classics" in the form of orchitis, prostatitis, inguinal hernia.

Causes: diseases and other factors

For pathologies of the prostate gland in men, a clear localization of pain in the groin area is uncharacteristic, although they can give periodic "lumbago" in one of the thighs during an acute process. Cystitis and urethritis also usually produce diffuse, poorly localized sensations of a burning or aching character.

Some of the causes of groin pain of various types may include:

• nephritis - a group of inflammatory diseases of the kidneys, their pelvis and parenchyma;
• urolithiasis - usually provoking or accompanying nephritis;
• cystitis - sepsis of the bladder caused by an ascending infection of the genitals or autoinfection with chronic urinary retention;
• urethritis - inflammation of the urethra, usually infectious, but scenarios of mechanical irritation, malignant lesions can also be observed;
• orchitis - inflammation of the testicles (often left, but also right), caused by third-party microflora, trauma, congenital disorders of blood and lymph flow, damage to the tubules excreting spermatozoa;
• epididymitis - a septic process in the epididymis, almost always accompanying orchitis;
• varicocele - varicose veins of the inguinal veins, almost exclusively of hereditary nature;
• hydro- and spermatocele - congenital or traumatic phenomena in the form of accumulation of fluid from the abdominal cavity (first) and sperm (second) in the tissues surrounding the testes. Both deviations are manifested for a long time by the growth of the neoplasm causing discomfort, and pain in the lower scrotum is given only in the last stages;
• testicular torsion is an extremely dangerous and acute condition. It consists in the rotation of the testis around its axis, as a result of which its blood supply and the outflow of lymph with sperm are completely stopped. With torsion, the symptoms grow rapidly, urgent help is required, and its causes remain a mystery to science;
• cancer - any organ or tissue that makes up the male scrotum and genitals, including the foreskin. The cause may also be malignant tumors of the rectum, appendix, bladder;
• a spasm or rupture of the pelvic floor muscles - a common symptom of which is urinary incontinence;
• prostatitis - inflammation of the prostate gland under the influence of hormonal imbalance (often age-related, premenopausal) or infection, trauma;
• adenoma is a benign growth in the tissues of an organ of purely endocrine origin;
• abscess of the prostate - a purulent focus in it with prostatitis;
• irritable bowel syndrome (IBS) is a predominantly psychogenic phenomenon formed by many non-critical but unpleasant manifestations, from indigestion and gas to alternating constipation with diarrhea;
• the already mentioned appendicitis - with pain rather in the right groin (the appendix is located on the right);
• an inguinal hernia is a congenital developmental defect that disappears on its own or is operated on in childhood, but can recur in heavy physical labor and weightlifters.

The causes of pain in men in the groin (both on the right and on the left) also often lie in the processes occurring in the bones, joints, nerve trunks and pelvic muscles that are strangled by them - myositis (inflammation of the muscle heads), arthritis, arthrosis, bursitis, lumbago, sciatica, intervertebral hernias. Among their causes and making themselves felt after many years are old injuries - sprains, previous interventions, blows to the groin, a broken penis (with intense sex or having sex with an incomplete erection) or bones.

Exacerbations of this kind in the overwhelming majority of cases occur after hypothermia of the lower body, lifting weights, walking or running for a long time, playing sports, shaking driving. After 40 years, they can be triggered by the change of seasons, food poisoning, the development of stomach ulcers, cardiovascular abnormalities, menopause. It must be remembered that the left testicle is vulnerable to a variety of "troubles" stronger than the right. The blood circulation in it is built somewhat differently and is more often disturbed.

Views

The subjective characteristics of groin pain experienced by a man depend on the essence of the process that triggered it and its stage. And the location of the focus affects where it is felt more noticeably - to the right or to the left.

Pulling

This symptom is most typical for damage to the muscular or ligamentous apparatus. May occur after minor injuries, especially to small muscles in the groin.Their spasm, sprains, bursitis, myositis become the cause of constant pain that intensifies with coughing and movement. A pulling pain in the groin in men, combined with local heaviness, a feeling of a foreign object can also occur with developed dropsy of the testicle, spermatocele, varicocele (only on the right or left, they rarely affect both testicles).

Aching

This type is statistically the most common, and it has more reasons than any other. The muscle may whine after stretching or the prostate gland is in remission of prostatitis. This is typical for the vast majority of pathologies in the interval between exacerbations, including arthritis. So they give to the groin and other foci - the rectum, kidneys, bladder.

Sharp

Sudden and severe pain occurs due to spasm and rupture of muscle fibers, entrapment of an inguinal hernia, abscess breakthrough, testicular torsion. The reason for its sharp onset may be another infringement of the nerve roots in the back with sciatica, sciatica. You can distinguish such a scenario by the "lumbago" in the legs up to the heels. Another possible cause is spasms of the urea or rectum, especially with constipation.

Dumb

Mild symptoms of this type arise from orchitis, epididymitis, varicocele in the later stages. Dull and strong after a few hours, at first, sharp pains from spasms, sprains, dislocations of the groin joints, muscles and ligaments, as well as breakthroughs of abscesses, become. It is typical for a fracture of the penis, and Peyronie's disease (a rare, hereditary disease, manifested by a change in the shape of a man's penis), but only during an erection.

Sharp

The most pronounced type of pain in men in the groin is usually associated with testicular torsion or severe trauma - rupture of muscles and ligaments, fracture of the pelvis. Occasionally, it can be observed in the joint affected by arthritis or deforming arthrosis and the muscles serving it, with lumbago, hernia infringement. But in such cases, it disappears after a forced rest.

What to do?

Do not forget that prostate adenoma and cancer of any localization do not hurt until the last stages. Pain in the groin on the left in men is most often observed with orchitis, epididymitis, varicocele, hematocele. The left testicle is more susceptible to them than the right one. Its vessels flow into the renal vein, in contrast to the inferior vena cava, which "receives" blood from the right testis. And the pressure in the renal parenchyma is the highest for the entire body (this is necessary for filtration), which causes complications with blood circulation in the left testicle in men.

Usually, intense pain sensations themselves force a man to seek medical help. Moderate discomfort is much more dangerous due to the lack of "stimulant" properties. At any intensity, only one of the measures listed below is allowed on your own, and you can go to the hospital as soon as possible.

Painless phenomena / neoplasms, such as:

• visual enlargement of one or both testicles, tumors or cyanotic nodules under their skin (more often found in the left groin than in the right, due to the mentioned difference in the structure of blood circulation);
• plaques and warts on the skin of the penis (the papilloma virus that causes them is carcinogenic);
• enlarged inguinal lymph nodes - one or more located nearby (a typical picture of near metastasis in cancer);
• non-healing, antibiotic-resistant erosion of any depth (100% indicative of cancer);
• neoplasms of any size, location and life span, adhered to the skin or surrounding tissues (little or no motion).

How to behave?

Therapeutic tactics depend not so much on the signs of pathology with which the man applied, but on the nature of the process. But in the period before going to the doctor, it is important for the patient to avoid the most common mistakes.

• It is better not to take analgesics and other medications before the examination - they can change the picture of symptoms.
• It is possible to warm up the area of edema, cyanosis, stitching or throbbing pains, but only if indicated. You cannot prescribe warming yourself on your own (with cysts and abscesses, it can cause a breakthrough of the focus).
• Drinking alcohol for "general sanitation" or "well-being" is strictly prohibited. When an abscess breaks out, it will only accelerate the absorption of toxic components of pus into the blood and their exchange, and will increase bleeding, if any.

Prostate or orchiectomy as a more serious operation is prescribed in extreme cases of necrosis, malignant neoplasms, when a man "tightened up" with treatment for torsion, thrombosis or cyst break.

Prevention

No one has yet been able to foresee all cases of damage to the genital or musculoskeletal system in the groin.But men should remember that their health, unlike the whole body, is supported by relatively thin muscles and blood vessels with their own "nuances" of the structure. Therefore, weights should be lifted exclusively in the correct technique throughout life:

• from a half-squat, without rounding the back;
• jerk-free, controlled and fluid movement;
• infrequently (if possible).

A sedentary lifestyle, prolonged daily standing motionless on the legs, interrupted and prolonged sexual intercourse are also harmful for blood circulation in the groin.