Scrotal Pain: When to Seek Medical Attention - Urology

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Scrotal pain


Hello doctor, since yesterday when I woke up, I noticed a sharp pain in my scrotum.
The pain becomes more pronounced when water from the shower or soap comes into contact with it.
Initially, I thought it was just a simple external injury or abrasion.
However, when I woke up today, the pain persisted.
Upon examination, I found that the skin of the scrotum is red and seems to have a secretion resembling tissue fluid that sticks to my underwear.
I am unsure if it would be better to seek medical attention as soon as possible.

Fan Xiansheng, 20~29 year old female. Ask Date: 2020/02/17

Dr. Li Xinyi reply Urology


If you have a wound with discharge, it should be treated.
Please make an appointment with the urology clinic as soon as possible for examination and treatment.

Reply Date: 2020/02/17

More Info


Scrotal pain can be a concerning symptom, and it is important to understand when to seek medical attention. Based on your description, it seems that you are experiencing sharp pain in the scrotal area, along with redness and a discharge that resembles tissue fluid. These symptoms warrant prompt medical evaluation for several reasons.

Firstly, scrotal pain can arise from a variety of causes, some of which may require immediate treatment. Common causes include:
1. Infections: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can lead to pain, redness, and swelling. These infections can be bacterial or viral and may require antibiotics or other treatments.

2. Trauma: If there was any recent trauma to the area, even if it seemed minor at the time, it could lead to pain and swelling. Sometimes, trauma can cause hematomas (blood collections) or testicular torsion, which is a surgical emergency.

3. Testicular torsion: This is a serious condition where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It typically presents with sudden, severe pain and swelling and requires immediate surgical intervention to prevent loss of the testicle.

4. Hernias: An inguinal hernia can also cause scrotal pain if abdominal contents protrude into the scrotum. This may be associated with a bulge and discomfort.

5. Other conditions: There are other potential causes of scrotal pain, including varicocele (enlargement of veins within the scrotum), hydrocele (fluid accumulation), or even referred pain from other areas such as the kidneys.

Given that you have noted redness and a discharge, it is particularly important to seek medical attention. The presence of discharge may indicate an infection, which could worsen if left untreated. Additionally, the fact that the pain persists and has not improved suggests that it is not a trivial issue.
When you visit a healthcare provider, they will likely perform a physical examination and may order tests such as an ultrasound to assess the blood flow to the testicles and to check for any abnormalities. They may also take a urine sample or swab to check for infections.

In summary, based on your symptoms of scrotal pain, redness, and discharge, it is advisable to seek medical attention as soon as possible. Early diagnosis and treatment can help prevent complications and ensure appropriate care. Do not hesitate to reach out to a healthcare professional for a thorough evaluation. Your health and well-being are paramount, and timely intervention can make a significant difference in outcomes.

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