What causes testicular pain in children?

Parents need to pay attention when they hear their children complain of testicular pain, because children are also susceptible to some reproductive diseases or external injuries. Testicular pain caused by orchitis or testicular torsion is more common, so the cause must be clarified.

1. Orchitis causes testicular pain. There are many causes of orchitis. For example, patients with mumps may suffer from orchitis, testicular pain and swelling. Gonorrhea is the sexually transmitted disease with the highest incidence rate. In severe cases, it can cause orchitis, testicular pain and swelling. Chronic prostatitis can also cause testicular pain, which manifests as unilateral pain, mostly dull pain or pulling pain, which is continuous. A large number of white blood cells can be seen under microscopic examination of prostatic fluid. Most patients are young and middle-aged people, and it is rare in the elderly.

2. Testicular torsion causes testicular pain. It can occur in people from newborns to 70 years old, 65% of which occur in people aged 12-19 years. It is usually caused by strenuous activities a few hours before the onset of the disease, or external force on the testicles. Sudden severe testicular pain during sleep or quiet time is the first symptom of the disease and one of the main diagnostic bases. Some patients also have nausea and vomiting, scrotal swelling, and obvious tenderness. For patients who suspect or cannot rule out testicular torsion, early surgical exploration and reduction and fixation should be performed to save the testicles and protect spermatogenesis.

3. Testicular injury causes testicular pain. And it is protected by a tough white membrane, so the chance of closed injury is small. Testicular injuries are mostly related to violence, car accidents, etc. After the injury, the testicles will be in severe pain, causing nausea, vomiting, and even fainting or shock. During physical examination, there will be swollen testicles, unclear contours or scrotal congestion, and obvious tenderness. B-ultrasound and CT not only help in the diagnosis of this disease, but also can clarify the location and extent of testicular injury.