Dolore ai testicoli e sintomi correlati per scoprire le cause

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Le cause mediche che possono provocare dolore ai testicoli sono numerose, alcune molto pericolose e da trattare immediatamente, altre semplicemente da non trascurare. Come capire di cosa si tratta? Quali i sintomi correlati alle diverse situazioni? Cerchiamo di capirlo insieme, senza dimenticare che un dolore improvviso e forte va sempre valutato con urgenza.

dolore testicolo sintomi cause


Sintomi di torsione del testicolo

La torsione testicolare è l’evento più pericoloso: si presenta generalmente con un esordio improvviso, un dolore intenso (localizzato a un testicolo), che può essere accompagnato da uno qualsiasi dei seguenti sintomi:
• Nausea e vomito
• Tenerezza scrotale/testicolare
• Testicoli e/o scroto gonfi e arrossati
• Dolore addominale
• Febbre
• Elevazione del testicolo interessato all’interno dello scroto
• Posizionamento orizzontale del testicolo interessato all’interno dello scroto
• La perdita del riflesso cremasterico sul lato colpito (dal medico)

Sintomi epididimite

L’epididimite si presenta generalmente con un esordio graduale, con dolore da lieve a grave solitamente localizzato a un testicolo, che può essere accompagnato da uno qualsiasi dei seguenti sintomi:
• Nausea e vomito
• Tenerezza scrotale/testicolare al tatto, in genere nella zona dell’epididimo, anche se può diventare più generalizzata e coinvolgere l’intero testicolo, con il progredire della malattia
• Gonfiore scrotale e arrossamento
• Dolore addominale
• Febbre
• Scarico uretrale
• Sintomi urinari, come bruciore, urgenza, o la frequenza minzionale

Sintomi correlati ad un trauma ai testicoli

In generale, i pazienti riferiscono una storia di trauma alla zona genitale e il dolore ai testicoli può variare da forte a lieve. Anche se in alcuni casi il meccanismo di lesione può sembrare minore (poco dolore) possono esistere gravi lesioni testicolari sottostanti. Vanno quindi notati i seguenti sintomi onde evitare rischi più seri, intervenendo rapidamente con l’ausilio di uno specialista:
• Tenerezza scrotale, gonfiore o lividi
• Lividi della zona tra lo scroto e l’ano (perineo)
• Nausea e vomito.

 

Sintomi ernia inguinale

Ernie inguinali sono comuni e talvolta possono causare disagio nello scroto e / o ai testicoli. Sintomi di un ernia inguinale possono includere:
• un rigonfiamento nello scroto o nella zona inguinale, che può diventare più pronunciata con la tosse o in seguito ad uno sforzo;
• un dolore sordo o sensazione di bruciore nella scroto e / o testicoli.

Sintomi Orchite

Il dolore testicolare può variare da lieve a grave. Poiché l’orchite generalmente si verifica come conseguenza di un’infezione (più spesso parotite), essa è tipicamente accompagnata anche da altri sintomi infettivi sistemici:
• febbre e brividi
• mal di testa
• dolori muscolari
• nausea
• stanchezza
• infiammazione della ghiandola parotide (parotite) nei casi di parotite
• tenerezza scrotale, gonfiore o arrossamento;

 

Sintomi di calcoli renali

E’ raro, ma può capitare che calcoli renali possano provocare dolore ai testicoli. I testicoli, tuttavia, appaiono normali e senza gonfiore o rossore. Altri segni e sintomi di calcoli renali possono includere:
• dolore ai reni
• dolore addominale
• nausea e vomito
• sintomi urinari, come sangue nelle urine, dolore durante la minzione e la frequenza urinaria.

Sintomi del tumore del testicolo

Anche i tumori testicolari possono talvolta causare dolore localizzato, benché nella stragrande maggioranza dei casi siano abbastanza silenti. Altri sintomi correlati possono includere:
• un nodulo o massa del testicolo
• un cambiamento nella dimensione o consistenza
• un dolore sordo del basso addome, parte bassa della schiena o la zona dell’inguine
• una sensazione di pesantezza nello scroto.

 

 

Potrebbero interessarvi anche i seguenti altri post che riguardano la sfera genitale maschile e le sue patologie:

 

Dolore al testicolo, tutte le cause e quando preoccuparsi

Epididimite, sintomi e cause

Varicocele: cause, sintomi, infertilità

Malattie a trasmissione sessuale nell’uomo, sintomi  e quali sono

Come curare la malattia di Peyronie, dai farmaci alla chirurgia

Infiammazione del glande (balanite): cause, sintomi e terapia

Foto: Thinkstock

Fonte: Medicinet

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