Is prostatitis causing testicular dull pain combined with orchitis?

Dull testicular pain caused by prostatitis may be combined with orchitis, or it may be referred pain caused by direct radiation of prostatic inflammation to the testicular area. Prostatitis and orchitis may be caused by bacterial infection, immune abnormalities and other factors, and must be diagnosed clearly through physical examination, ultrasound and laboratory testing.

Dull testicular pain caused by prostatitis is usually related to inflammation irritating nerves or local congestion. Patients with chronic prostatitis may have persistent pain in the perineum and testicles due to stasis of prostatic fluid or tension in the pelvic floor muscles. The pain is mostly dull pain or swelling, and may worsen after urination. At this time, the testicle itself has no typical inflammatory symptoms such as redness, swelling, heat and pain, and ultrasound examination is usually normal. For treatment, tamsulosin hydrochloride sustained-release capsules and celecoxib capsules can be used as directed by the doctor to relieve symptoms, and combined with warm water sitz baths to improve local circulation.

If combined with orchitis, the pain is usually sudden swelling or stinging pain in one side of the testicle, accompanied by redness, swelling and obvious tenderness of the scrotal skin, which may be accompanied by fever or frequent urination and urgency. Bacterial orchitis requires antibiotics such as cefixime dispersible tablets and levofloxacin tablets, while viral orchitis requires symptomatic treatment. In the acute stage, bed rest is required, the scrotum is elevated, and strenuous exercise is avoided. When the two coexist, combined treatment for prostate and testicular inflammation is required.

You should avoid sitting for long periods of time, drinking alcohol, and eating spicy foods. Regular ejaculation can help relieve prostate congestion. If testicular pain lasts for more than a week or is accompanied by fever and difficulty urinating, you must seek medical treatment promptly to rule out epididymitis, varicocele and other diseases. Pay attention to the cleanliness of the perineum, choose loose and breathable underwear, and moderate exercise can improve pelvic blood circulation.