Pain and Swelling in the Left Spermatic Cord: Causes and Solutions - Urology

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There is sometimes a swollen area on the left side of the spermatic cord that can be painful to the touch?


Sometimes there is swelling, and sometimes it doesn't happen.
The reason seems to be that after a particular sexual encounter, there was no high-risk sexual activity.
The next morning, I woke up with pain and upon touching the spermatic cord area, I found a swollen and thickened area that is painful to the touch.

Zhan, 20~29 year old female. Ask Date: 2018/09/11

Dr. Sun Hongshun reply Urology


Hello, the symptoms you described may indicate the possibility of varicocele.
If your symptoms do not improve and become more pronounced after walking, standing for long periods, engaging in sexual activity, or intense exercise, it is advisable to seek medical attention promptly.

Reply Date: 2018/09/11

More Info


Understanding pain and swelling in the left spermatic cord can be concerning, especially when it arises suddenly or after specific activities, such as sexual intercourse. The spermatic cord contains various structures, including blood vessels, nerves, and the vas deferens, which can be affected by a range of conditions. Here, we will explore potential causes of your symptoms and suggest appropriate steps for management.


Potential Causes of Pain and Swelling in the Spermatic Cord
1. Epididymitis: This is an inflammation of the epididymis, which is a coiled tube at the back of the testicle that stores and carries sperm. It can be caused by bacterial infections, including sexually transmitted infections (STIs) like chlamydia or gonorrhea. Symptoms often include swelling, pain, and tenderness in the affected testicle.

2. Orchitis: This is an inflammation of one or both testicles, which can occur due to viral infections (like mumps) or bacterial infections. Symptoms may include swelling, pain, and sometimes fever.

3. Varicocele: This condition involves enlarged veins within the scrotum, similar to varicose veins. It can cause discomfort and a feeling of heaviness in the affected testicle. Varicoceles are often more noticeable when standing and may cause pain that varies with activity levels.

4. Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to swelling and pain in the groin or scrotum, especially when lifting or straining.

5. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain and swelling. This condition requires immediate medical attention.

6. Trauma or Injury: Any recent trauma to the groin area can lead to swelling and pain in the spermatic cord. This could be due to physical activity or injury during sexual intercourse.

7. Nerve Compression: As mentioned in previous discussions, nerve compression from posture or weight can sometimes lead to referred pain in the testicular area. This is less common but can occur, especially if there are underlying issues with the spine or pelvis.


Management and Treatment
Given the variety of potential causes, it is essential to seek medical evaluation if you experience persistent or severe pain and swelling. Here are some steps you can take:
1. Medical Evaluation: Schedule an appointment with a urologist. They may perform a physical examination and recommend imaging studies, such as an ultrasound, to assess the structures in the scrotum and spermatic cord.

2. Symptomatic Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, this should not replace a medical evaluation.

3. Avoid Strain: If you notice that certain activities exacerbate your symptoms, try to avoid them until you have been evaluated by a healthcare professional.

4. Ice Application: Applying ice packs to the affected area may help reduce swelling and provide temporary relief from pain.

5. Follow-Up: If you are diagnosed with a specific condition, follow your healthcare provider's recommendations for treatment, which may include antibiotics for infections, lifestyle modifications for varicoceles, or surgical intervention for hernias or torsion.


Conclusion
Pain and swelling in the spermatic cord can arise from various conditions, some of which may require urgent medical attention. It is crucial to consult a healthcare professional for an accurate diagnosis and appropriate management. Early intervention can help prevent complications and improve your quality of life. Remember, while online resources can provide general information, they cannot replace personalized medical advice tailored to your specific situation.

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