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Dull pain near the testicles may be related to factors such as varicocele, epididymitis, testicular torsion, trauma, or urinary system stones. It usually manifests as unilateral or bilateral dull pain, a feeling of swelling, or sudden severe pain. Intervention can be achieved through hot compress relief, anti-infective treatment, surgical reduction, etc. It is recommended to seek medical treatment in time to determine the cause.

1. Varicocele

Standing for a long time or after strenuous exercise may aggravate spermatic vein blood return disorder. The incidence is higher on the left side, which is manifested by scrotal swelling and dull pain, and symptoms are obvious when standing. It can be relieved through scrotal support, and in severe cases, high spermatic vein ligation is required. Avoiding prolonged standing and strenuous labor can help improve symptoms.

2. Epididymitis

Bacterial retrograde infection through the urethra can easily cause epididymal swelling and pain, often accompanied by symptoms of frequent urination and urgency. In the acute stage, bed rest and ice application are required, and the doctor may prescribe antibiotics such as levofloxacin tablets and cefixime dispersible tablets. Those with chronic and recurring attacks can cooperate with microwave physiotherapy, and sexual life is prohibited during treatment.

3. Testicular torsion

Sudden severe testicular pain accompanied by nausea and vomiting during strenuous exercise or sleep is a urological emergency. It can be reduced manually within 6 hours of onset, and orchiopexy is required to save testicular function after 12 hours. Sudden scrotal pain in adolescents should be treated immediately as emergency treatment, as delayed treatment may lead to testicular necrosis.

4. Traumatic factors

Straddle injuries or impact injuries can cause testicular contusion and hematoma, and the degree of pain is positively related to the injury. For minor injuries, you can rest in bed and take ibuprofen sustained-release capsules for pain relief. After 48 hours, use hot compresses to promote hematoma absorption. If the scrotum continues to swell, ultrasound is required to rule out testicular rupture, and surgical debridement is required to stop bleeding if necessary.

5. Ureteral stones

Radiating pain from lower ureteral stones can spread to the testicular area, often accompanied by waist cramps and hematuria. After being diagnosed through CT examination, stones smaller than 6 mm in diameter can be taken with tamsulosin sustained-release capsules to promote their elimination, while larger stones require extracorporeal shock wave lithotripsy. Drinking more than 2000 ml of water every day can prevent recurrence.

You should choose loose and breathable underwear every day to reduce local compression, and avoid riding or sitting for long periods of time. If you experience sudden severe pain or are accompanied by fever or hematuria, you must seek medical attention immediately. Testicular ultrasound and routine urine examination are routine examinations. During the treatment period, alcohol and spicy food are prohibited. During the recovery period, levator exercises can be performed to improve blood circulation. Regular check-ups are required to ensure complete relief of symptoms. Chronic pain that persists for more than two weeks should be investigated for possible tumors.