What happens when prostatitis causes testicular pain?

Testicular pain caused by prostatitis may be caused by the spread of inflammation, nerve reflexes, concurrent infections, psychological factors, local blood circulation disorders, etc. It can be relieved by anti-infective treatment, physical therapy, psychological counseling, drug analgesia, and life adjustment.

1. Spread of inflammation

The prostate and testicles are connected through the vas deferens. When the prostate is inflamed, pathogens may spread along the vas deferens to the epididymis or testicles. This condition is often accompanied by lower urinary tract symptoms such as frequent urination and urgency. Physical examination can reveal prostate tenderness. Treatment requires the use of antibiotics such as levofloxacin hydrochloride tablets and azithromycin dispersible tablets, combined with warm water sitz baths to promote the resolution of inflammation.

2. Nerve reflex

There are nerve reflex pathways between the prostate and testicles, and stimulation of prostate inflammation may cause referred pain through nerve reflexes. The pain is mostly dull or bloating, and may worsen at night. You can use celecoxib capsules to relieve pain as directed by your doctor, and perform hot compresses on the perineum at the same time, 2-3 times a day, 15-20 minutes each time.

3. Concurrent infections

Severe prostatitis may be followed by orchitis or epididymitis, manifesting as redness, swelling, heat and pain in the testicles. Routine urine examination and scrotal ultrasound examination need to be completed. After diagnosis, intravenous injection of ceftriaxone sodium and other drugs is required. In the acute stage, you should rest in bed and use a scrotum support belt to reduce the feeling of falling.

4. Psychological factors

Patients with chronic prostatitis may experience anxiety due to long-term discomfort, amplifying their pain perception. The pain level does not match the examination results. It is recommended to conduct psychological evaluation and use anti-anxiety drugs such as paroxetine hydrochloride tablets if necessary, in conjunction with cognitive behavioral therapy.

5. Blood circulation disorder

Prostatic congestion and edema may compress surrounding blood vessels, causing obstruction of testicular venous return. This type of pain worsens after sitting for a long time and is relieved by activity. You can take Maizhiling tablets to improve microcirculation, and perform levator exercises 3-4 times a day, with 10-15 contractions each time.

Patients should avoid cycling or sitting for long periods of time and get up and move around for 5-10 minutes every hour. The diet should be light, limit the intake of spicy foods, and drink no less than 2000 ml of water every day. You can eat tomatoes, pumpkin seeds and other zinc-rich foods in moderation. Pay attention to keeping warm and avoid catching cold, and choose loose and breathable cotton underwear. If the pain lasts for more than 1 week or is accompanied by fever, routine prostate fluid and bacterial culture should be reviewed in a timely manner. Chronic patients are advised to perform prostate massage regularly, 1-2 times a week, to help discharge secretions.