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Testicular pain

MedGen UID:
21103
•Concept ID:
C0039591
•
Sign or Symptom
Synonyms: Orchialgia; Orchidalgia; Orchidodynia; Pain in testicle; Pain in testicles; Pain in testis; Pain of testes; Testicular Pain
SNOMED CT: Orchialgia (63901009); Orchidalgia (63901009); Orchidodynia (63901009); Pain in testicle (63901009); Pain of testes (63901009); Pain in testis (63901009)
 
HPO: HP:0033839

Definition

An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to one or both testes. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTesticular pain

Professional guidelines

PubMed

A Review of Imaging Modalities Used in the Diagnosis and Management of Scrotal Trauma.
Wang A, Stormont I, Siddiqui MM
Curr Urol Rep 2017 Oct 28;18(12):98. doi: 10.1007/s11934-017-0744-1. PMID: 29081016
Diagnosis and Surgical Management of Male Pelvic, Inguinal, and Testicular Pain.
Belanger GV, VerLee GT
Surg Clin North Am 2016 Jun;96(3):593-613. doi: 10.1016/j.suc.2016.02.014. PMID: 27261797
Varicocelectomy in the treatment of testicular pain: a review.
Shridharani A, Lockwood G, Sandlow J
Curr Opin Urol 2012 Nov;22(6):499-506. doi: 10.1097/MOU.0b013e328358f69f. PMID: 22965318

Recent clinical studies

Etiology

Testicular torsion in children.
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Intermittent testicular torsion.
Obi AO
Niger J Clin Pract 2017 Oct;20(10):1273-1276. doi: 10.4103/njcp.njcp_218_16. PMID: 29192631
Pediatric Testicular Torsion.
Bowlin PR, Gatti JM, Murphy JP
Surg Clin North Am 2017 Feb;97(1):161-172. doi: 10.1016/j.suc.2016.08.012. PMID: 27894425
Presentation of Testicular Torsion in the Emergency Department.
Ann Kroger-Jarvis M, Gillespie GL
Adv Emerg Nurs J 2016 Oct/Dec;38(4):295-299. doi: 10.1097/TME.0000000000000119. PMID: 27792071
Laparoscopic hernia repair.
Kavic MS
Surg Endosc 1993 May-Jun;7(3):163-7. doi: 10.1007/BF00594099. PMID: 8503072

Diagnosis

Testicular torsion in children.
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Atypical testicular pain.
Bedi N, Rahimi MNC, Menzies S, Kalsi J
BMJ Case Rep 2019 Feb 19;12(2) doi: 10.1136/bcr-2018-226697. PMID: 30787023Free PMC Article
Chronic Testicular and Groin Pain: Pathway to Relief.
Calixte N, Brahmbhatt J, Parekattil S
Curr Urol Rep 2017 Sep 2;18(10):83. doi: 10.1007/s11934-017-0722-7. PMID: 28866773
Pediatric Testicular Torsion.
Bowlin PR, Gatti JM, Murphy JP
Surg Clin North Am 2017 Feb;97(1):161-172. doi: 10.1016/j.suc.2016.08.012. PMID: 27894425
Testicular masses.
Junnila J, Lassen P
Am Fam Physician 1998 Feb 15;57(4):685-92. PMID: 9490992

Therapy

Atypical testicular pain.
Bedi N, Rahimi MNC, Menzies S, Kalsi J
BMJ Case Rep 2019 Feb 19;12(2) doi: 10.1136/bcr-2018-226697. PMID: 30787023Free PMC Article
Testicular adrenal rest tumors.
Armas-Alvarez AL, Salinas-Sánchez AS, Atienzar-Tobarra M, Virseda-Rodriguez JA
Rev Int Androl 2018 Jul-Sep;16(3):128-130. Epub 2018 Mar 2 doi: 10.1016/j.androl.2017.10.001. PMID: 30300134
Testicular tumors of adrenogenital syndrome: From physiopathology to therapy.
Naouar S, Braiek S, El Kamel R
Presse Med 2017 Jun;46(6 Pt 1):572-578. Epub 2017 May 23 doi: 10.1016/j.lpm.2017.05.006. PMID: 28549629
Varicocelectomy in the treatment of testicular pain: a review.
Shridharani A, Lockwood G, Sandlow J
Curr Opin Urol 2012 Nov;22(6):499-506. doi: 10.1097/MOU.0b013e328358f69f. PMID: 22965318
Chronic testicular pain: an overview.
Granitsiotis P, Kirk D
Eur Urol 2004 Apr;45(4):430-6. doi: 10.1016/j.eururo.2003.11.004. PMID: 15041105

Prognosis

Testicular torsion in children.
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Is there any association of COVID-19 with testicular pain and epididymo-orchitis?
Ediz C, Tavukcu HH, Akan S, Kizilkan YE, Alcin A, Oz K, Yilmaz O
Int J Clin Pract 2021 Mar;75(3):e13753. Epub 2020 Nov 9 doi: 10.1111/ijcp.13753. PMID: 33063899Free PMC Article
Varicocelectomy in the treatment of testicular pain: a review.
Shridharani A, Lockwood G, Sandlow J
Curr Opin Urol 2012 Nov;22(6):499-506. doi: 10.1097/MOU.0b013e328358f69f. PMID: 22965318
Chronic testicular pain: an overview.
Granitsiotis P, Kirk D
Eur Urol 2004 Apr;45(4):430-6. doi: 10.1016/j.eururo.2003.11.004. PMID: 15041105
Laparoscopic hernia repair.
Kavic MS
Surg Endosc 1993 May-Jun;7(3):163-7. doi: 10.1007/BF00594099. PMID: 8503072

Clinical prediction guides

High risk and low prevalence diseases: Testicular torsion.
Lacy A, Smith A, Koyfman A, Long B
Am J Emerg Med 2023 Apr;66:98-104. Epub 2023 Jan 24 doi: 10.1016/j.ajem.2023.01.031. PMID: 36738571
Testicular torsion in children.
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Is there any association of COVID-19 with testicular pain and epididymo-orchitis?
Ediz C, Tavukcu HH, Akan S, Kizilkan YE, Alcin A, Oz K, Yilmaz O
Int J Clin Pract 2021 Mar;75(3):e13753. Epub 2020 Nov 9 doi: 10.1111/ijcp.13753. PMID: 33063899Free PMC Article
Varicocelectomy in the treatment of testicular pain: a review.
Shridharani A, Lockwood G, Sandlow J
Curr Opin Urol 2012 Nov;22(6):499-506. doi: 10.1097/MOU.0b013e328358f69f. PMID: 22965318
Military rubella.
Schlossberg D, Topolosky MK
JAMA 1977 Sep 19;238(12):1273-4. PMID: 578178

Recent systematic reviews

Clinical, Pathological and Immunohistochemical Characteristics of Patients with Primary Testicular Lymphoma Undergoing Orchiectomy: A Systematic Review and Meta-Analysis.
Zhang J, Zhang Y, Luo C
Arch Esp Urol 2024 Jun;77(5):505-516. doi: 10.56434/j.arch.esp.urol.20247705.70. PMID: 38982779
Sexual dysfunction between laparoscopic and open inguinal hernia repair: a systematic review and meta-analysis.
Supsamutchai C, Wattanapreechanon P, Saengsri S, Wilasrusmee C, Poprom N
Langenbecks Arch Surg 2023 Jul 14;408(1):277. doi: 10.1007/s00423-023-03006-z. PMID: 37450061
Recurrent testicular torsion post orchidopexy - an occult emergency: a systematic review.
van Welie M, Qu LG, Adam A, Lawrentschuk N, Laher AE
ANZ J Surg 2022 Sep;92(9):2043-2052. Epub 2022 Mar 7 doi: 10.1111/ans.17592. PMID: 35257473Free PMC Article
Lightweight Versus Heavyweight Mesh in Laparoscopic Inguinal Hernia Repair: An Updated Systematic Review and Meta-Analysis of Randomized Trials.
Hu D, Huang B, Gao L
J Laparoendosc Adv Surg Tech A 2019 Sep;29(9):1152-1162. Epub 2019 Aug 1 doi: 10.1089/lap.2019.0363. PMID: 31373875
Micro-Denervation of the Spermatic Cord for Post-Vasectomy Pain Management.
Tan WP, Levine LA
Sex Med Rev 2018 Apr;6(2):328-334. Epub 2017 Jul 21 doi: 10.1016/j.sxmr.2017.06.002. PMID: 28735684

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