What is the cause of testicular pain caused by prostatitis?

Testicular pain caused by prostatitis may be related to the spread of inflammation, nerve reflexes, local congestion, bacterial infection, psychological factors, etc. It usually manifests as dull pain, swelling or radiating pain. It can be relieved through anti-infective treatment, physical therapy, drug analgesia, psychological counseling, lifestyle adjustment, etc.

1. Spread of inflammation

The prostate and testicles are connected through the vas deferens and the lymphatic system, and when the prostate becomes inflamed, pathogens may spread along these pathways to the testicular area. Patients with bacterial prostatitis may experience symptoms such as redness, swelling, heat and pain in the testicles, as well as frequent urination and urgency. Treatment requires the use of antibiotics such as levofloxacin hydrochloride tablets and azithromycin dispersible tablets as directed by the doctor, along with warm water sitz baths to promote local blood circulation.

2. Nerve reflex

The prostate and testicles share part of the nerve conduction pathways. When inflammation of the prostate stimulates the pelvic nerve plexus, it may cause referred testicular pain through nerve reflexes. This type of pain is mostly dull or sore, and may worsen after urination. You can try ibuprofen extended-release capsules to relieve pain, and use tamsulosin hydrochloride extended-release capsules to improve urinary function.

3. Local congestion

Prostatitis will cause local blood vessels in the pelvis to dilate and become congested, affecting testicular venous return, causing testicular swelling and discomfort. Symptoms may worsen after prolonged sitting or sexual arousal. It is recommended to avoid activities that put pressure on the perineum, such as riding a bicycle, and wear loose cotton underwear. If necessary, use Maizhiling tablets to improve venous return.

4. Bacterial infection

Prostatitis caused by pathogens such as gonococcus or chlamydia may result in epididymo-orchitis. It manifests as severe pain in the testicles accompanied by fever and redness of the scrotal skin. It is necessary to seek medical treatment promptly for bacterial culture, and select sensitive antibiotics such as cefixime granules based on the results. In severe cases, intravenous administration is required.

5. Psychological factors

Patients with chronic prostatitis are prone to anxiety due to long-term discomfort, which may amplify pain perception. The pain is characterized by a migrating dull pain that has nothing to do with changes in body position. It can be adjusted through cognitive behavioral therapy, combined with oryzanol tablets to regulate autonomic nerve function, and maintaining a regular schedule can help improve symptoms.

In daily life, you should pay attention to avoid holding urine for a long time, drink about 2000 ml of water every day, and eat less spicy and irritating food. You can choose gentle exercises such as swimming and jogging to avoid aggravating pelvic congestion. Keep your sex life regular and moderate, neither abstinent nor excessive. If the pain lasts for more than a week or is accompanied by fever, hematuria and other symptoms, you must immediately go to the urology department for prostate fluid examination and ultrasound examination.