Testicular pain with varicocele | Pain in the testicles

Testicular pain with varicocele

A varicocele describes a pathological dilatation of the venous plexus of the testis (pampiniform plexus) as a result of an insufficiency of the venous valves. About 20% of adult men are affected by a varicocele. The peak of the disease rate is between the ages of 15 and 25.

The varicocele can be divided into 3 grades. In grade I, the varicocele is only palpable during pressing. In grade II the varicocele can be palpated without provocation like pressing.

In grade III the change in the scrotal veins is visible. A varicocele usually causes fewer symptoms. However, a pulling in the testicle and a feeling of heaviness of the testicle may occur.

After the varicocele has been diagnosed by inspection (looking at), palpation (palpation), ultrasound and possibly a spermiogram (in about 25% of patients there is a limited fearfulness due to the venous change and the resulting warming of the testicles), there are possible treatment options depending on the degree of severity. If the varicocele is painful, the semen quality is reduced or there is a cosmetic problem (the patient feels the appearance of the testicles is disturbing), a vein blockage can be performed. In this case, either the vein testicularis interna (operation according to Bernardi) or the vein spermatica (operation according to Palomo) can be prevented (so-called ligature).

  • Symptoms
  • Treatment

Testicular pain after vasectomy

Testicular pain may also occur after a vasectomy. Vasectomy describes the sterilization of the man by cutting through the spermatic ducts, removing a piece and tying the two ends separately. This procedure can be performed under local anesthesia, since the vas deferens run outside the abdominal cavity in the scrotum and are therefore easily accessible.

It is possible that pain may occur when the local anesthetic is injected, the rest of the procedure is painless. In retrospect, various, but rare complications may occur. These include bruising and swelling in the scrotum, local inflammation, wound infection or even pulling in the testicles.

This can radiate into the groin and occur more frequently in the first few days, but in very rare cases it can persist for weeks or months. The pain can usually be relieved with local and moderate cooling. Furthermore, painkillers can also be taken. Further interesting information from this area An overview of all already published topics from the field of anatomy can be found under Anatomy A – Z

  • Testicles
  • Testicular cancer
  • Epididymis
  • Epididymis pain
  • Undescended testicle
  • Testicular Inflammation
  • Water in the testicles
  • Bladder
  • Ureter
  • Sperm duct inflammation
  • Hydrocele