Can Constipation Cause Testicular Pain? Your Symptoms - Urology

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Testicular issues (follow-up visit)


Hello, doctor.
I am the patient who experienced testicular pain during our last visit (on October 12).
Yesterday, I went to the hospital where a doctor examined me, took X-rays, and performed a urine test.
The doctor said it didn't seem like a varicocele and suggested that it might be due to fecal impaction causing pressure.
He prescribed me "Pain Relief Tablets." However, I went to the emergency department, not the urology department (because I had tutoring until 10:00 PM).
Can fecal impaction really cause pressure? After reviewing other testicular symptoms, I am quite worried about my condition.

Niming, 10~19 year old female. Ask Date: 2015/11/03

Dr. Xu Weikai reply Urology


Hello, the rectum is very close to the prostate, with only about 2-3 centimeters of distance between them.
Therefore, if the stool is larger or harder, it can indeed exert pressure on the prostate, leading to urinary symptoms.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses on the internet should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/03

More Info


Constipation can indeed lead to testicular pain, and your concerns are valid. The relationship between the gastrointestinal system and the reproductive system is more interconnected than many people realize. When constipation occurs, it can cause a buildup of stool in the intestines, which may lead to increased pressure in the abdominal cavity. This pressure can, in turn, affect the surrounding structures, including the testicles.

The testicles are located in the scrotum, which is situated just below the abdomen. When the intestines are distended due to constipation, they can push against the pelvic organs, including the testicles. This pressure can result in discomfort or pain in the testicular area, often described as a dull ache or sharp pain. Additionally, the nerves that supply sensation to the testicles also receive input from the lower abdomen, which means that issues in the abdominal area can manifest as pain in the testicles.

In your case, the doctor you consulted seems to have considered this possibility, as they mentioned that the pain could be due to "impacted stool" pressing against the pelvic area. The medication prescribed, "Pain Relief Tablets," likely aims to alleviate discomfort while addressing the underlying constipation. It’s essential to manage constipation effectively, as chronic constipation can lead to further complications, including hemorrhoids, anal fissures, and even urinary issues.

If you are experiencing testicular pain, it is crucial to monitor your symptoms closely. If the pain persists or worsens, or if you notice any other concerning symptoms such as swelling, redness, or changes in urination, it would be wise to follow up with a urologist or a healthcare provider specializing in male reproductive health. They can perform a thorough examination and may recommend further tests, such as an ultrasound, to rule out other potential causes of testicular pain, such as epididymitis, testicular torsion, or hernias.

In the meantime, managing your constipation through dietary changes, increased fluid intake, and regular physical activity can help alleviate the pressure on your abdomen and potentially reduce the testicular pain. Foods high in fiber, such as fruits, vegetables, and whole grains, can promote regular bowel movements. Additionally, over-the-counter laxatives may be helpful, but they should be used sparingly and under the guidance of a healthcare provider.

In summary, constipation can indeed cause testicular pain due to increased abdominal pressure. It is essential to address the constipation and monitor your symptoms closely. If the pain continues or you have any additional concerns, seeking further evaluation from a specialist is advisable. Your health and comfort are paramount, and addressing these issues early can help prevent more significant complications down the line.

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