Sharp Pain Under Testicles During Urination: What to Know - Urology

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Experiencing sharp pain under the testicles during urination can be concerning and warrants attention. The sudden, sharp pain you describe, particularly when urinating or after urination, could be indicative of several underlying conditions. It is essential to understand that while some causes may be benign, others could require prompt medical intervention.


Possible Causes of Sharp Pain Under Testicles During Urination
1. Urinary Tract Infection (UTI): UTIs can cause pain during urination, and while they are more common in women, men can also experience them. Symptoms may include a burning sensation, frequent urination, and sometimes pain in the lower abdomen or pelvic area.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause pain in the testicles and may be associated with urinary symptoms. Epididymitis can be caused by infections, including sexually transmitted infections.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. While this typically presents with severe, sudden pain, it can sometimes cause discomfort during urination.

4. Prostatitis: Inflammation of the prostate gland can lead to pain during urination and may radiate to the testicular area. This condition can be acute or chronic and may require specific treatment.

5. Hernia: An inguinal hernia can cause discomfort in the groin area and may be exacerbated during urination or physical activity.

6. Kidney Stones: While typically associated with flank pain, kidney stones can cause referred pain to the testicular area, especially if they are located in the lower urinary tract.


Recommendations
Given that the pain has been noticeable for three days, it is advisable to monitor the situation closely. However, if the pain persists, worsens, or is accompanied by other symptoms such as fever, swelling, or changes in urination (like blood in the urine), you should seek medical attention promptly. Here are some steps you can take:
1. Hydration: Ensure you are drinking plenty of fluids, as this can help flush out any potential irritants in the urinary tract.

2. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen may help alleviate discomfort. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions.

3. Avoid Irritants: Try to avoid substances that can irritate the bladder, such as caffeine, alcohol, and spicy foods.

4. Monitor Symptoms: Keep track of any additional symptoms that may develop, such as fever, chills, or changes in urinary habits.

5. Seek Medical Evaluation: If symptoms do not improve within a week or if they worsen, it is crucial to consult a healthcare provider. They may perform a physical examination, urinalysis, and possibly imaging studies to determine the underlying cause of your symptoms.


Conclusion
While it may be tempting to wait and see if the pain resolves on its own, it is essential to be proactive about your health. Sharp pain under the testicles during urination can be a sign of various conditions, some of which may require treatment. Listening to your body and seeking medical advice when necessary is crucial for your overall health and well-being.