Achy Testicle Differential Diagnosis
The following is a differential diagnosis for an achy testicle, categorized for clarity and importance.
- Single most likely diagnosis
- Epididymitis: This is the most common cause of testicular pain, often resulting from a bacterial infection, usually Chlamydia or Gonorrhea. The pain can be severe and is typically accompanied by swelling of the epididymis.
- Other Likely diagnoses
- Orchitis: Inflammation of one or both testicles, usually caused by bacterial or viral infections. It can cause pain, swelling, and may be accompanied by fever.
- Testicular torsion (early stages): Although it's an emergency, in its early stages, testicular torsion might present with intermittent or mild pain, making it sometimes less immediately recognizable.
- Varicocele: An enlargement of the veins within the scrotum, similar to varicose veins. It can cause a dull ache or feeling of heaviness in the testicle.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Testicular torsion: This is a medical emergency that requires immediate attention. If not treated promptly, it can lead to the loss of the testicle and potentially long-term fertility issues.
- Testicular cancer: Although less common, testicular cancer can present with a painless testicular mass, but sometimes it may cause a dull ache. Early detection is crucial for effective treatment.
- Rare diagnoses
- Henoch-Schönlein purpura (HSP): A form of vasculitis that can affect various parts of the body, including the testicles, causing pain and swelling.
- Spermatocele: A cystic structure filled with sperm, which can cause a sensation of heaviness or a dull ache in the testicle.
- Hydrocele: An accumulation of fluid in the scrotum that can cause swelling and sometimes discomfort or a feeling of heaviness.
Each of these conditions has distinct characteristics, but some may present with similar symptoms, making a thorough medical evaluation essential for an accurate diagnosis and appropriate treatment.