Why does it hurt when my testicles are connected to a muscle in my lower abdomen?

Pain in a muscle connecting the testicles to the lower abdomen may be related to factors such as varicocele, epididymitis, vas deferens, inguinal hernia, and urinary system stones. The diagnosis can be confirmed through physical examination, imaging examination, laboratory examination, etc., and targeted treatment can be taken.

1. Varicocele

Varicocele may cause pain at the junction between the testicles and the lower abdomen, which is usually manifested as a swollen feeling in the scrotum, which is aggravated after standing for a long time or being tired. It may be related to factors such as venous valve insufficiency and long-term increased abdominal pressure. For treatment, Maizhiling tablets, diosmin tablets and other drugs can be used according to the doctor's advice to improve venous return. In severe cases, high spermatic vein ligation is required. Avoid standing and sitting for long periods of time and wear loose underwear to help relieve symptoms.

2. Epididymitis

Epididymitis can cause referred pain from the testicles radiating to the lower abdomen, often accompanied by redness, swelling and heat in the scrotum. It is mostly caused by bacterial infection and may be related to urinary tract infection, sexually transmitted diseases and other factors. Antibiotics such as levofloxacin tablets and cefixime dispersible tablets must be used as directed by the doctor, along with bed rest and scrotal elevation. In the acute stage, cold compresses can be used to reduce swelling, while in the chronic stage, hot compresses are needed to promote the absorption of inflammation.

3. Vas deferens

Inflammation of the vas deferens can cause cord-like pain along the spermatic cord, which may be induced by retrograde infection, surgical trauma and other factors. It manifests as tender cord-like induration and needs to be differentiated from epididymitis. Treatment requires the use of azithromycin capsules, doxycycline hydrochloride tablets and other drugs as directed by the doctor, in conjunction with local physical therapy. Those with recurrent attacks should be investigated for structural abnormalities in the genitourinary system.

4. Inguinal hernia

Incarcerated inguinal hernia may compress the spermatic cord and cause referred pain, which manifests as a mass in the groin area accompanied by sudden severe pain. Immediate medical treatment is required to rule out the risk of intestinal impaction and necrosis. After diagnosis, hernia repair is required, and either traditional open surgery or laparoscopic surgery can be chosen. Avoid heavy physical labor and movements that increase abdominal pressure for three months after surgery.

5. Urinary system stones

Lower ureteral stones can radiate to the ipsilateral testicular area, often accompanied by hematuria and abnormal urination. It may be related to metabolic abnormalities, urinary tract obstruction and other factors. The location and size of the stones need to be determined through ultrasound or CT, and diclofenac sodium suppositories can be used to relieve pain and tamsulosin hydrochloride sustained-release capsules can be used to promote stone expulsion as directed by the doctor. If the diameter of the stone exceeds 6 mm, extracorporeal shock wave lithotripsy or ureteroscopy should be considered.

When pain occurs at the junction between the testicles and the lower abdomen, it is recommended to avoid strenuous exercise and seek medical advice promptly. Keep the perineum clean and dry every day, and avoid riding bicycles or sitting for long periods of time. Pay attention to reducing the intake of spicy foods and drinking more water to promote metabolism. Conduct regular physical examinations of the urinary system, and those with fertility needs need to pay special attention to the health of the spermatic vein. If the pain lasts for more than 24 hours or is accompanied by fever, hematuria and other symptoms, you must seek medical attention immediately.