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Chronic epididymitis can lead to permanent damage or even destruction of the epididymis and testicle (resulting in infertility and/or hypogonadism), and infection may spread to any other organ or system of the body. Chronic pain is also an associated complication for untreated chronic epididymitis. [5]
Chronic scrotal pain (pain for greater than 3 months) may occur due to several underlying conditions. [3] It occurs in 15-19% of men post vasectomy, due to infections such as epididymitis, prostatitis, and orchitis, as well as varicocele, hydrocele, spermatocele, polyarteritis nodosa, testicular torsion, previous surgery and trauma. [3]
Chronic testicular pain is long-term pain of the testes. [ 2 ] [ 3 ] It is considered chronic if it has persisted for more than three months. [ 1 ] Chronic testicular pain may be caused by injury , infection , surgery , cancer , varicocele , or testicular torsion , and is a possible complication after vasectomy . [ 2 ]
Testicular conditions: Pain may radiate to the lower abdomen in cases of testicular torsion, epididymitis, or orchitis. Epididymitis is inflammation of the epididymis, a tube at the back of the ...
Pain that worsens if you move your abdomen, such as by walking or coughing. Nausea, vomiting, loss of appetite. Fever that worsens. ... Epididymitis, when the back of testicle becomes swollen.
Post-vasectomy pain syndrome (PVPS) is a chronic and sometimes debilitating genital pain condition that may develop immediately or several years after vasectomy. [ 1 ] [ 2 ] [ 3 ] Because this condition is a syndrome , there is no single treatment method, therefore efforts focus on mitigating/relieving the individual patient's specific pain.
According to Prehn's sign, the physical lifting of the testicles relieves the pain of epididymitis but not pain caused by testicular torsion. [4] Negative Prehn's sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours.
Treatment may also include a program of "paradoxical relaxation" to prevent chronic tensing of the pelvic musculature. [12] Psychological therapy: as most chronic pain conditions, psychotherapy might be helpful in its management regardless its direct impact on pain. [58] [59]