What is the reason for testicular skin pain?

Testicular skin pain may be related to scrotal skin infection, trauma, varicocele, testicular torsion, epididymitis and other factors. It can be relieved by local cold compress, antibiotic treatment, surgical reduction and other methods.

1. Scrotal skin infection

Scrotal skin infections are usually caused by bacteria or fungi and present as localized redness, swelling, burning, or itching. Commonly seen when sweating excessively or when hygiene is poor. For mild infections, topical mupirocin ointment or ketoconazole cream can be used. In severe cases, cefixime dispersible tablets should be taken orally. Keeping the perineum clean and dry can help prevent recurrence.

2. Trauma

External forces such as impact and friction on the scrotum may cause subcutaneous capillaries to rupture, form hematomas and cause pain. For minor injuries, cold compresses can be used to reduce swelling within 48 hours, and hot compresses can be used to promote absorption in the later period. If there is persistent severe pain or an enlarged scrotal hematoma, the possibility of testicular rupture needs to be ruled out.

3. Varicocele

Obstruction of spermatic vein return will cause scrotal swelling and pain, which will be aggravated after standing for a long time and can be relieved by lying down. Physical examination revealed vermiform varicose veins on the scrotal surface. Mild cases can wear a scrotal band to relieve symptoms, while severe cases require laparoscopic high spermatic vein ligation. This disease may affect sperm quality, and it is recommended to review semen routine regularly.

4. Testicular torsion

When the testicular frenulum develops abnormally, it is prone to torsion, which manifests as sudden severe pain and elevated testicular position, which is a urological emergency. It can be reduced manually within 6 hours of onset, and orchiopexy is required if it exceeds 12 hours. Delayed treatment may lead to testicular necrosis, and adolescents who experience sudden scrotal pain must seek medical attention immediately.

5. Epididymitis

Retrograde bacterial infection of the epididymis through the urethra can cause scrotal swelling and pain, which may be accompanied by fever and tingling during urination. In the acute stage, bed rest and scrotal support are required, and levofloxacin tablets combined with ibuprofen sustained-release capsules can be used for treatment. Those with chronic and recurrent attacks need to investigate structural abnormalities of the urinary system.

You should choose breathable cotton underwear for daily use and avoid riding or sitting for long periods of time. If you have persistent pain for more than 24 hours, fever, or abnormal urination, you must seek medical attention promptly. It is forbidden to squeeze the swollen area by yourself, and the bath water temperature should not be too high. Pay attention to supplementing vitamin C and zinc in your diet to help repair the reproductive system. Suspend sexual intercourse during the acute phase and avoid strenuous exercise within 3 months after recovery.