The article in brief
Lower abdominal pain linked to the testicles requires special attention because of its anatomical complexity. Here are the key points to remember:
- Intricate nerve connections between the lower abdomen and the testicles
- Various causes: infections, testicular torsion, varicocele, hernia, stones
- Importance of a accurate diagnosis with additional tests
- Appropriate treatment, ranging from antibiotics to surgery
- Quick consultation recommended in the event of persistent or intense pain
Pain in the lower abdomen associated with the testicles is a frequent reason for consultation in urology. Over the course of my career, I've noticed that many patients delay seeking help out of embarrassment or fear. However, it is important to understand the links between these two anatomical areas so that we can better understand the symptoms and act quickly if necessary.
Anatomy and nerve connections: the key to understanding
The male urogenital system is complex, with intricate nerve connections between the lower abdomen and the testes. The nerves that innervate these regions often share common origins in the spinal cord. This is why testicular pain can be felt in the abdomen and vice versa.
I remember one patient who complained of persistent abdominal pain. After a thorough examination, we discovered that it was in fact an incipient testicular torsion. This experience perfectly illustrates the importance of considering the entire urogenital system when making a diagnosis.
Here is a list of the main causes of lower abdominal pain linked to the testicles:
- Urinary or genital infections
- Testicular torsion
- Varicocele
- Inguinal hernia
- Kidney or ureter stones
It is essential to understand that pain can radiate from one area to anotherThis is why I always recommend that my patients describe their symptoms in detail, even if they seem unrelated. That's why I always recommend that my patients describe their symptoms in detail, even if they seem unrelated.
Differential diagnosis and management
When faced with such pain, it's vital to make an accurate diagnosis. As an esturologist, I use a variety of techniques to achieve this. The clinical examination remains the basis, but complementary examinations are often necessary.
Here is a summary table of the main tests used:
| Examination | Usefulness |
|---|---|
| Ultrasound | Visualisation of internal structures |
| Urinalysis | Detection of urinary tract infections |
| Abdominal scan | Search for calculations or structural anomalies |
Treatment obviously depends on the cause identified. It can range from simple antibiotic treatment for an infection to urgent surgery in the case of testicular torsion. I always stress to my patients the importance of a prompt consultation in the event of persistent or intense pain..
In the course of my practice, I have developed a holistic approach to treatment. I don't just treat the symptoms, but also try to understand the patient's lifestyle and habits, so that I can offer appropriate advice and prevent recurrences. This personalised approach has often led to significant improvements in my patients' quality of life.
