The medical history (history of the patient) represents an important component in the diagnosis of testicular pain. Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). How long has the pain been present? Have they changed in intensity? Have they become more severe?* Has the pain come on suddenly? Where exactly is the … Testicular Pain: Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Sliding testis (retentio testis prescrotalis; gliding testis). Inguinal testis (Retentio testis inguinalis; “cryptorchidism“). Pendulum testis (“retractile testis”). Cardiovascular system (I00-I99) Polyarteritis nodosa – the classic form of polyarteritis nodosa (PAN) is a severe general disease (weight loss, fever, night sweats/nocturnal sweating, “chlorotic marasmus”) occurring either insidiously or post- … Testicular Pain: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing) and palpation (palpation) of abdomen (stomach), inguinal region (groin region), etc. (tenderness?, tapping pain?, release pain?, coughing pain?, guarding pain?, hernial orifices?, kidney bearing tapping pain?) … Testicular Pain: Examination
1st order laboratory parameters – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: nitrite, protein, hemoglobin, erythrocytes, leukocytes) incl. sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable antibiotics for sensitivity / resistance) … Testicular Pain: Test and Diagnosis
Therapy goals Relief of symptoms Diagnosis finding Note: Approximately 30% of cases with chronic testicular pain (chronic testalgia; chronic testicular pain, CTP) involve idiopathic (“without an identifiable cause”) chronic testicular pain. Therapy recommendations Symptomatic therapy (analgesics/pain relievers) until definitive therapy when diagnosis is confirmed.
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Sonography (ultrasound examination) of the urinary tract and testes (scrotal sonography) – for basic diagnosis or exclusion of ureteral stones or testicular pathologies (pathological conditions of the testes). Transrectal prostate sonography (ultrasound … Testicular Pain: Diagnostic Tests
Testicular pain can manifest itself as follows: Pain on pressure/touch Feeling of heaviness Pain of annihilation Pulling pain In addition to these various pain characters, the following accompanying symptoms may occur: Testicular swelling Redness Local overheating Fever Dysuria – pain during urination Radiation of pain to the groin and abdomen (belly). Warning signs (red flags) … Testicular Pain: Symptoms, Complaints, Signs
