Patient's question:
Right testicle hangs down with unbearable pain.Doctor's answer:
Here is the English translation of the provided content, with line breaks preserved as they are:I. Orchitis: Orchitis can cause unilateral testicular pain, with patients experiencing testicular pain and swelling. Gonorrhea; Gonorrhea is currently the most prevalent sexually transmitted disease and can lead to orchitis in severe cases, causing testicular pain and swelling.
II. Testicular Injury: The testicle has a high degree of mobility within the scrotum and is protected by a tough tunica albuginea, making closed injuries less common. Most testicular injuries are associated with violence, car accidents, etc. After injury, there may be severe testicular pain accompanied by nausea and vomiting, even fainting or shock. Physical examination may reveal testicular swelling, unclear contours, or scrotal hematoma with significant tenderness.
III. Testicular Pain: Testicular torsion is one of the common acute emergencies within the scrotum. It can occur from newborns to elderly individuals over 70 years old, with 65% of cases occurring in individuals aged 12-19. Typically, it occurs several hours after intense physical activity or external force on the testicle.
IV. Testicular Ischemic Pain: Testicular ischemic pain is more common in the elderly, with severe pain that worsens during activity and relieves during rest. Prostatic fluid microscopy is usually normal, often caused by atherosclerosis of the testicular artery leading to arterial stenosis. Testicular atherosclerosis is often a localized manifestation of systemic vascular disease, usually unilateral, with the left side being more affected than the right.