What is the cause of the pain in the testicles?

Patient's question:

What is the reason for the pain in the testicles? Doctor, I have recently been feeling discomfort in my testicles with strong pain, but it comes and goes, not constantly. I usually work very busy and often work overtime, sometimes working until midnight. I would like to understand what causes pain in the testicles?

Doctor's answer:

Testicular swelling and pain are commonly seen in orchitis and injury. Orchitis, except for hematogenous infection, is more commonly caused by bacteria retrograding from the urethra to the epididymis and testes. Orchitis is caused by bacteria and viruses. The testes rarely suffer from bacterial infections due to their rich blood and lymphatic supply, which provides strong resistance against bacterial infections. Most bacterial orchitis is caused by inflammation of the adjacent epididymis, hence it is also known as epididymo-orchitis. It is characterized by unilateral pain, mostly dull or pulling pain, and continuous in nature. It is recommended to seek medical attention.

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