symptoms of kidney and urinary tract disorders
kidney and urinary tract disorders
Scrotal Pain
The following information can help people decide when immediate medical attention is necessary and help them know what to expect during the evaluation. In men with pain in the scrotum, certain symptoms and characteristics are cause for concern. They include Sudden, severe pain Swelling in the scrotum or groin area, particularly one that cannot be pushed down and that is accompanied by severe pain or vomiting Blisters and/or red or black discoloration of the scrotum or the area between the penis and the anus Symptoms of severe illness, such as high fever, difficulty breathing, sweating, dizziness, or confusion Men or boys who have warning signs or are in severe pain should see a doctor immediately because some causes of pain can lead to loss of a testis or other severe complications. People without warning signs should see a doctor in a day or two. Doctors first ask questions about the person's symptoms and medical history and then do a physical examination. What they find during the history and physical examination often suggests a cause of the scrotal pain and the tests that may need to be done (see table Some Causes and Features of Scrotal Pain ). Doctors ask Where the pain is located How long pain has been present Whether there are injuries to the groin area About the man's sexual history Whether there are any problems urinating (such as burning or discharge) Whether there are any disorders that may cause pain to travel to the groin Although the physical examination concentrates on the genitals, the groin area, and the abdomen, doctors also look for signs of disorders elsewhere that may cause pain to be felt in the scrotum. Doctors first look to identify disorders that require immediate treatment. The onset and nature of the pain and the age of the person can provide clues to the cause. The need for tests depends on what doctors find during the history and physical examination. However, some testing is typically done. Urinalysis and Urine Culture None Testing for Diagnosis None Color Doppler ultrasonography if testicular torsion seems possible Timely surgery for Testicular Torsion is critical, so when doctors are very concerned about testicular torsion they may do surgery immediately instead of testing. 