Sudden Scrotal Pain After Swimming: Causes and Relief Tips - Urology

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Scrotum


On March 24th, around 7 PM, I went swimming at the pool.
Before swimming, I soaked in ice water, and then I started swimming the breaststroke.
Halfway through, while kicking my legs and spreading them apart, I suddenly felt a sharp pain near the base of my scrotum.
The pain felt like a cramp.
After leaving the pool, I experienced pain while walking, which forced me to walk slowly and was quite uncomfortable.
What could be the cause of this? (I have a varicocele in my left testicle.) If this happens again in the future, what actions can I take to alleviate it?

Bei Nan, 10~19 year old female. Ask Date: 2012/03/24

Dr. Xu Weikai reply Urology


Hello, you may have a muscle strain, but it's difficult to confirm.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2012/03/24

More Info


Sudden scrotal pain after swimming can be alarming and uncomfortable. Based on your description, it seems that the pain occurred during a specific movement while swimming, particularly when you kicked your legs apart. This type of pain can be attributed to several potential causes, and understanding these can help you manage and prevent future occurrences.


Possible Causes of Sudden Scrotal Pain
1. Muscle Strain: The most common cause of sudden pain in the scrotal area during physical activity, such as swimming, is a muscle strain. The muscles in the groin and pelvic area can become overstretched or torn, especially if you are performing movements that require sudden force or if your muscles are not adequately warmed up.

2. Testicular Torsion: Although less common, testicular torsion is a serious condition that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition is characterized by sudden, severe pain and requires immediate medical attention.

3. Inguinal Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause pain in the groin and scrotum, especially during physical activities.

4. Varicocele: Since you mentioned having a varicocele (enlarged veins within the scrotum), this could also contribute to discomfort. Varicoceles can cause a dull ache or heaviness in the scrotum, and certain activities may exacerbate this discomfort.

5. Nerve Irritation: Sometimes, nerve irritation in the pelvic region can lead to referred pain in the scrotum. This can happen due to muscle tension or injury in the lower back or pelvis.


Relief Tips
1. Rest and Ice: If you experience sudden scrotal pain, the first step is to rest and avoid any activities that may aggravate the pain. Applying ice to the affected area can help reduce swelling and numb the pain.

2. Gentle Stretching: If the pain is due to muscle strain, gentle stretching of the groin and pelvic muscles may help alleviate discomfort. However, avoid any movements that cause pain.

3. Supportive Underwear: Wearing supportive underwear can help reduce discomfort by providing support to the scrotum and minimizing movement during physical activities.

4. Pain Relief Medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation.

5. Avoid Sudden Movements: When swimming or engaging in physical activities, try to avoid sudden or forceful movements that could strain the muscles in the groin area.

6. Consult a Doctor: If the pain persists or worsens, it is essential to consult a healthcare professional. They can perform a physical examination and may recommend imaging studies to rule out serious conditions like testicular torsion or hernias.


Conclusion
While sudden scrotal pain during swimming can be caused by various factors, understanding the potential causes and implementing preventive measures can help manage and alleviate the discomfort. Given your history of varicocele, it may be beneficial to discuss this with your healthcare provider, especially if you experience recurrent pain. They can provide personalized advice and treatment options tailored to your specific situation. Always prioritize your health and seek medical attention if you have concerns about your symptoms.

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