Differential Diagnosis for Genital Pressure in a Non-Sexually Active Male
Single Most Likely Diagnosis
- Prostatitis: This condition, which is an inflammation of the prostate gland, can cause a feeling of pressure or discomfort in the genital area. It's a common issue in men and can be caused by bacterial or non-bacterial factors. The symptoms can include pain or burning during urination, frequent or urgent need to urinate, and discomfort or pain in the genital area.
Other Likely Diagnoses
- Urinary Tract Infection (UTI): While more common in women, men can also develop UTIs, which can cause discomfort or pressure in the genital area, along with symptoms like burning during urination and frequent urination.
- Epididymitis: This is an inflammation of the epididymis, a tube at the back of the testicle that stores and carries sperm. It can cause pain and pressure in the testicle and is often accompanied by swelling and redness of the scrotum.
- Varicocele: A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins. It can cause a feeling of heaviness or pressure in the testicle and is more common on the left side.
Do Not Miss Diagnoses
- Testicular Torsion: Although rare, testicular torsion is a medical emergency that requires immediate attention. It occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain in the testicle, swelling, and abdominal pain. Missing this diagnosis can result in the loss of the testicle.
- Testicular Cancer: While less common, testicular cancer can present with a feeling of heaviness or pressure in the testicle, along with a lump or swelling. Early detection is crucial for effective treatment.
Rare Diagnoses
- Orchitis: This is an inflammation of one or both testicles, usually caused by bacterial or viral infections. It can cause pain, swelling, and pressure in the testicle.
- Henoch-Schönlein Purpura (HSP): A rare condition that can cause inflammation of the blood vessels, leading to symptoms that include testicular pain and swelling, among other systemic symptoms.
- Spermatocele: A spermatocele is a benign cystic accumulation of sperm that arises from the head of the epididymis. It can cause a feeling of pressure or a lump in the scrotum but is usually painless.