Acute Testicular Pain

Aka: Acute Testicular Pain, Testicular Pain, Scrotal Pain, Acute Scrotum, Orchialgia, Orchidodynia

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II. Causes: Common Acute Causes of Scrotal Pain

  1. Testicular Torsion
  2. Torsion of Testicular Appendage
  3. Epididymitis
  4. Orchitis
  5. Traumatic Injury to Scrotum
  6. Strangulated or incarcerated Inguinal Hernia

III. Causes: Referred Scrotal Pain

  1. Renal Colic
  2. Acute Appendicitis (esp. retrocecal appendix)
  3. Diverticulitis
  4. Acute Pancreatitis
  5. Lumbar Radiculopathy
    1. Ask about cauda equina symptoms if Lumbar Radiculopathy is suspected

IV. Causes: Uncommon Acute Causes of Scrotal Pain

  1. Testicular Cancer (5% of Testicular Pain cases)
  2. Familial mediterranean fever
  3. Henoch Schonlein Purpura
  4. Cysticercosis
  5. Local Hemorrhage
    1. Associated with Testicular Cancer
    2. Associated with testicular appendage
  6. Tick Bite or venomous bite
  7. Torsion of Spermatocele
  8. Torsion of Cavernous Lymphangioma
  9. Fournier Gangrene

V. Resources

  1. Gordhan (2015) Korean J Urol
    1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294852/

VI. References

  1. Cristoforo (2019) Crit Dec Emerg Med 33(10): 15-20
  2. Barloon (1996) Am Fam Physician 53(3):1734-40 [PubMed]
  3. Crawford (2014) Am Fam Physician 89(9): 723-7 [PubMed]
  4. LeBlanc (2013) Am Fam Physician 87(12): 844-8 [PubMed]
  5. Sharer (1982) Surg Clin North Am 62:955-70 [PubMed]
  6. Son (1985) Prim Care 12:637-46 [PubMed]

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