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Male Groin Pain

“The groin” refers to the area in the folds where the legs meet the abdomen. While injuries to the pubic region can sometimes result in groin pain, the pubic region itself lies in between the groin areas and is not, in fact, a part of the groin. The most common causes of groin pain are strains of the muscles, tendons, or ligaments. Beyond these basic strains, men and women can experience different causes of groin pain. Some of the more common causes of male groin pain include:

  • Epididymitis (Testicular Inflammation) – This is most often caused by a bacterial infection or Sexually Transmitted Infection (STI). The epididymis, the coiled tube that stores and carries sperm through the testicles, becomes inflamed, causing pain and swelling.

  • Hydrocele (Swelling of the Scrotum) – These fluid-filled sacs form around the testicle, resulting in swelling of the scrotum. Hydroceles are common in newborns and often disappear without treatment within the first year. Older males can develop hydroceles as well, usually as the result of an injury to the scrotum. Hydroceles are usually not painful and often require no treatment, but it is important to not ignore scrotal swelling and see a doctor with any concerns.

  • Inguinal Hernia – This type of hernia occurs when soft tissue pokes out through a weak point in the abdominal muscles. This results in a visible and palpable bulge, which can be extremely painful. Hernias do not get better on their own and require medical attention to end the pain and prevent serious complications.

  • Kidney Stones – Small, hard mineral and salt deposits can form in the kidneys and become lodged in any part of the urinary tract. Kidney stones can have a variety of causes, but the most frequent is urine becoming concentrated, allowing the waste materials to stick together. Kidney stones usually do not cause lasting damage, but can be extremely painful.

  • Testicular Torsion – This painful condition occurs when the testicle rotates, twisting the cord that provides blood to the scrotum. This causes a reduction in blood flow that leads to sudden, severe pain and swelling. This condition can occur at any age, but is most common between ages of 12 and 16. Testicular Torsion usually requires emergency surgery. If treated within a few hours, the testicle can usually be saved, but a delay in treatment can result in permanent damage, including the possibility of sterility or even the loss of the affected testicle.

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