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In case of prostatitis, the right testicle may enlarge


In Case Of Prostatitis The Right Testicle May Enlarge

Testicular enlargement


Under testicle enlargement is meant an absolute sign of many diseases, which is characterized by a true increase in the size and volume of the testicle. It is worth differentiating from an increase in the size of the scrotum. With an increase in the size of the scrotum in a number of situations, the size of the testis remains unchanged. An increase in the size of the testicle can be determined by palpation of the scrotum. However, it is possible to obtain absolutely accurate data on the degree of enlargement, as well as to assess the structure of the testicle, by ultrasound.


An increase in the size of the testicle can be with orchitis, tumor processes, testicular injury.


Inflammation of testicular tissue is called orchitis. As a rule, it occurs together with the defeat of the epididymis. Then this condition is called orchiepididymitis. The disease can be caused by nonspecific microflora. Extremely rare is testicular inflammation caused by Mycobacterium tuberculosis. Orchitis caused by a nonspecific infection proceeds rapidly and acutely. In this case, the testicle sharply increases in size, the skin of the scrotum is hyperemic. The surface of the testicle is sharply painful and tense. The appendage in most cases is also enlarged and sharply painful. Body temperature is elevated, chills and signs of intoxication may be observed. In addition, there are symptoms of dysuria (frequent urination).


Unlike nonspecific orchitis, the tuberculous process proceeds sluggishly, without obvious pronounced clinical symptoms (in about 80% of cases). The testicle is somewhat enlarged, its surface is dense and bumpy. Often there is the formation of adhesions between the skin and the testicle and appendage. As a result of necrosis, a fistulous tract is formed.


An increase in the testicle can be with the development of a tumor process, both benign and malignant. With testicular cancer, the surface of the testicle is dense (reaches a stony density), bumpy. Pain at the onset of the disease is absent. Quite often, the disease is diagnosed by chance. In this case, the patient may complain only of an enlarged testicle on one side.


An increase in the testicle during injuries is often due to the soaking of testicular tissues with blood during a bruise. In the event of a testicular rupture, bleeding may occur, and the enlargement of the testicle is caused by the presence of a collection of blood. Diagnosis of testicular injuries is not particularly difficult, ultrasound scanning allows you to get a true picture.


Another cause of testicular enlargement is observed with testicular torsion. Testicular torsion can occur as a result of trauma or in the case of violent and inaccurate movements of the testicle in the scrotal cavity. Often this condition can occur during sexual activities. Testicular torsion occurs when the blood supply to the testicle is interrupted. The testicle increases in size due to edema, palpation is sharply painful. The skin of the scrotum may be pale or vice versa - hyperemic. With torsion, a reactive effusion forms into the scrotal cavity and a hydrocele is formed. The testicle is gradually shifted upward. When you try to raise it even higher, the pain intensifies, this symptom is called Pren's symptom.


Thus, testicular enlargement is an alarming symptom of many diseases. Any increase in the size of the testicle (both unilateral and bilateral) requires a visit to the doctor for the purpose of examination and examination. The examination plan must necessarily include an ultrasound examination of the scrotum, which will determine the true causes of testicular enlargement, as well as assess the condition of other organs of the scrotum and make an accurate diagnosis.



Testicles hurt with prostatitis - what does it mean


As a rule, prostatitis in men leads to pain in the lower abdomen, in the perineum and scrotum. If you cure acute inflammation of the prostate gland or achieve a period of remission in case of chronic prostatitis - pain, problems with urination and potency will either disappear altogether or become less pronounced. However, in some cases, discomfort appears for other reasons and signals danger.


Therefore, it is necessary to be able to distinguish between pain in prostatitis and other diseases. Only a doctor can find a reliable cause and make a diagnosis after a thorough examination, history taking and obtaining the results of clinical studies. It is highly undesirable to independently diagnose and treat yourself - this can cause complications.



Soreness in the scrotum with inflammation of the prostate


As a rule, prostatitis pain has its own characteristics and is difficult to confuse with another pathology. It is mild, aching in nature, localized in the perineum, genital organs (including the right and left testicles), lower abdomen and lower back.The main differences in pain with inflammation of the prostate gland in men:



  • it can be permanent or undulating, but usually lasts at least a few hours;
  • increases during urination, there may also be a feeling of incomplete emptying of the bladder;
  • often occurs after a violation of the diet, drinking alcohol or after hypothermia;
  • almost always appears after an erection or after ejaculation, sometimes it can be so strong that it interferes with sexual intercourse;
  • sometimes occurs after long periods of abstinence, hard work, or prolonged inactivity in men.

Tenderness is usually symmetrical, that is, it appears in both the left and right testicles. In this case, no deformation of the scrotum is observed. In acute prostatitis, the temperature may rise and very severe and sharp pain may appear in the pelvic area and testicles.


Important! A characteristic sign of prostatitis is that not only the scrotum or penis hurts. Unpleasant sensations spread to other places - in the back, hips, abdomen, in the rectum. Often there is pain during or after the act of defecation.



Sexually transmitted infections


Sometimes pain occurs in men with chlamydia, mycoplasmosis, gonorrhea, or other diseases that are predominantly sexually transmitted. The characteristic symptoms of STDs are discharge with an unusual color and an unpleasant odor, but they do not always appear.


Often, these diseases cause the same symptoms as inflammation of the prostate gland: frequent urge and cramps during urination, sexual dysfunction. Sometimes the testicles and scrotum hurt. Because of the similar clinical picture, men sometimes confuse these diseases with prostatitis. If left untreated, prostatitis, orchitis, cystitis, urethritis, or other complications may develop.


Fact! Men under 40 are most likely to develop acute prostatitis. Often its pathogens are trichomonas or chlamydia. Therefore, this group of men should be tested for STIs at the first symptoms of prostatitis.



One testicle affected


In addition to inflammation of the prostate gland, the testicles can hurt for many other reasons. Especially dangerous is the appearance of pain in any one testicle - right or left. Most often this indicates such diseases:


Hydrocele (dropsy) - accumulation of fluid, leading to deformation of the scrotum. It increases in size, can interfere with walking and engaging in habitual activities. In this situation, pain is mild or absent. Dropsy appears in the right or left testis, but both are more often affected. Testicular torsion leads to compression of blood vessels and nerves. Tissue ischemia develops rapidly, and in the absence of timely medical intervention, a zone of necrosis (dead cells) may form. In this condition, there is a strong sharp pain, which is localized specifically in the left or right testicle. An oblique inguinal hernia often descends into the scrotum, causing its deformation. This is a dangerous pathology that requires surgical intervention. Due to a hernia, a tumor-like formation may appear in the right or left testis in men. Varicocele - expansion of the veins extending from the scrotum. Severe soreness, enlargement and blueness usually occurs in the left testicle. Pathology also requires surgical treatment, so it is impossible to delay a visit to the hospital in any case. Orchitis or epididymitis - inflammation of the testicle or its epididymis. They develop independently or as a result of infection from neighboring organs. The pathological process with the same frequency develops both in the right and in the left testis. An asymmetric lesion is also possible with injuries, impaired innervation or blood supply to the genital organs. Men over 60 years of age may develop a benign neoplasm or a malignant tumor - cancer.


Advice! Situations when the pathological process is localized in one of the testicles (in the right or left) are especially dangerous. In this case, you need to go to the hospital as soon as possible - it is quite possible that the man will need emergency care.



Alarm signs


If a slight soreness in the groin often indicates chronic prostatitis and does not cause strong concerns, then in some situations, pain in the right or left testicle requires urgent admission to the hospital.The following symptoms are especially dangerous:



  • marked enlargement or deformity of the scrotum, resulting in one of the testicles becoming much larger than the other;
  • soreness aggravated by touching the testicles or caused by injury and persisting for a long time;
  • an increase in temperature to 38-39 degrees, the appearance of nausea, vomiting, intoxication phenomena;
  • change in the size, shape or consistency of the testicles - they may be enlarged, thickened or have an uneven surface.

Naturally, you need to go to the hospital in any case, even if discomfort and pain in the testicles occur periodically and do not affect the usual way of life. If alarming symptoms appear, you should immediately consult a doctor!



How to get rid of pain in the scrotum


Of course, many men have a natural desire to take painkillers. However, they will eliminate the pain only for a short time. When the effect of the drug is over, unpleasant symptoms will again make themselves felt. To prevent this from happening, it is necessary to diagnose and treat the underlying disease.


If the soreness in the scrotum appeared due to inflammation in the prostate gland, the doctor, after the necessary examinations, will prescribe the most appropriate drugs. For a bacterial infection in men, antibiotics are prescribed. If the disease is caused by an STI, several different drugs are usually prescribed.


Symptomatic treatment is also indicated - analgesics, alpha-blockers, herbal remedies. Microclysters, water procedures, prostate massage help well. However, some of these methods are categorically contraindicated in acute inflammation. Therefore, you can start treatment only after consulting a doctor



Pain in the testicles with prostatitis


The inflammatory process of the prostate gland is accompanied by unpleasant symptoms and painful sensations. One of the disturbing sensations is pain in the testicles in men with prostatitis. To determine the severity of the disease, it is necessary to recognize the specificity of the pain syndrome.



Localization of pain in prostatitis


The aggravated prostatitis, like the neglected one, is marked by the same painful symptoms. Painful syndrome is marked by spasms in the perineum, extending to the anus and scrotum. The testicles of the testicles with the buttocks may also hurt. In the acute phase of inflammation, unpleasant symptoms appear in the pubis and lower back.


Prostatitis can be recognized by any man by the presence, sensations and localization of the pain syndrome. However, diagnosis is not made for pain alone, additional studies on analyzes and examination are required. Based on the patient's clinical picture, the urologist can determine the type of inflammation and prescribe an effective treatment.



Why there is soreness in the groin


Most patients wonder how the prostate and testis might be related. Knowing about their pathology, patients are at a loss, did the prostatitis touch the eggs.


This process is easy to explain. The prostate gland, like other organs in the body of a man, has many nerve roots that connect to other nerve endings in neighboring tissues. Due to close contact, signs of injury radiate from one painful area to other healthy structures.


Not only eggs from prostatitis hurt, the pain is localized in other directions with inflammation of the prostate gland:



  • in the groin;
  • in the pubic area;
  • in the lumbar region;
  • in the peritoneum;
  • crotch.

All organs in the small pelvis have a connection with each other. If one of the organs is damaged, the painful symptoms also spread to neighboring tissues.



Characteristics of pain


Pain sensations have their own classification:


It hurts in the lower abdomen



  • character of soreness;
  • irradiation;
  • time period;
  • localization by place of manifestation;
  • relationship with other factors;
  • measure of intensity.

With prostatitis, male testicles hurt, accompanying both an active, chronic and advanced disease. The phase of the disease is marked by different pain symptoms.


Cutting or stabbing.



  • By diagnosing a particular testicle, you can determine the place of the most intense sensations.
  • Without spreading to other tissues (not considering the perineum, where the original problem is located).
  • Spontaneous onset, not related to urination or defecation.

Strong pulsating.



  • With episodes of 2-4 minutes, every one and a half, two hours, when painkillers and anti-inflammatory drugs are not taken.

Chronic form:


Testicles hurt with prostatitis under consideration with different sensations:


Aching, pulling.



  • Diffusion spreads throughout the scrotum without clear manifestations.
  • Sometimes the pain migrates to the pubis and groin.
  • Most often, pain occurs after sexual intercourse, urination, erection, ejaculation.

Slight intensity.



  • Soreness is most often ignored by patients, and no medications are taken.
  • The duration is episodic for 2.5 hours. Seizures, or rather their frequency, depend on the conduct of medical therapy.

According to the characteristics of the pain that prostatitis causes, the phase of the disease is determined. However, discomfort can occur not only with prostatitis. They can be felt during a pathological phenomenon in other structures adjacent to the organ.


Often, such phenomena warn of a strong progressiveness of the disease. This may indicate the fact that bacteria are spreading to all organs in the pelvis.



Soreness of the testicles with inflammation of the prostate


With prostatitis, pain is most often felt in the perineal area, but the fact that irradiation is possible to surrounding tissues is not excluded. An inflamed gland in the male body is always painfully reflected in the genitals and pubis. It's like an echo, strong pains flowing in attacks. The intensity of the painful syndrome depends on the severity of the disease. When the disease has already involved the seminal vesicles, then it begins to hurt in the groin.


At the same time, patients feel discomfort in the prostate area - this is how chronic prostatitis proceeds. Purulent congestion is manifested by unbearable spasms that radiate to the back. This condition is accompanied by fever, inability to empty the urea, severe weakness, lack of urine.



What pathological processes cause pain in the testicles


Can pain occur with another pathology? A feeling of painful discomfort is possible when orchitis occurs. This disease can be provoked by untreated or transferred prostatitis. Orchitis is an inflammatory process of the testicles and their appendages. Sometimes one egg can be affected.


Pain in the testicle may be caused by orchiepididymitis, which may occur after surgical treatment on the prostate gland.


The disease begins its development due to an infection in the plasma in the testicular zone. Harmful bacteria begin their spread in the seminal vesicles and urethral canal. An operation is a kind of trauma and it can also affect the inflammation process.



What causes spasms


Painful sensations haunt not only men, but also children (boys). When testicles hurt, you should consult an andrologist.


Internal causes:


Anatomy of the pelvic region


Physical factors:


Doctor and patient



What signals an urgent visit to a medical institution, the removal of pain


Every man should observe the changes and sensations in the genitals.


What sensations should alert a man?


Testicular palpation



  • Painful palpation of one or both testicles.
  • Changing the structure of one of the two organs.
  • The intensity of the unpleasant spasm.
  • Pain in the area of the scrotum, passing into spasms.
  • Pain attacks.
  • After a blow, the soreness does not go away for a long time.
  • Sensation of growths on palpation of the testicles.

You can get rid of pain in the testicles with complex therapy, which is determined by a specialized specialist. Simple pain relief will not solve the problem, so self-administration of drugs will not lead to anything good. Some painkillers have contraindications regarding men's health in general.


In most cases, in case of infectious pathology, specialists prescribe the use of antibiotic therapy and antispasmodics.


The painful sensation of the testicles is a dangerous call. If you postpone a visit to the urologist, you can provoke infertility or impotence.


Before prescribing a treatment regimen, the doctor examines the patient, sends him for tests, an ultrasound examination of the scrotum. Based on clinical studies, a diagnosis is established with the appointment of a treatment regimen.