The Internet buzzword, “eggache” is originally a northern slang term. The English word is “Ballsache”, (from Headache, headache). The antonym is “egg-defining”. The word “Ballsache” itself translates into a feeling of helplessness, entanglement and excitement about something that makes one’s upper and lower body uncomfortable, jumping from left to right and wanting to punch someone to let off steam. There is another translation of “egg pain” is that something is very tricky to calm up the meaning. As the saying goes, “Don’t be a chicken, be an egg”. The general meaning is boredom or other untold feelings of powerlessness, such as “idle egg pain”. Today, Dr. Lin wants to explore the “egg pain” from a medical point of view, generally speaking, testicular pain can be caused by a variety of aspects, such as trauma, varicocele, testicular epididymitis, testicular torsion, urinary stones, etc., the following we use common language to tell: a. Testicular trauma first of all, the most common egg pain is testicular trauma, the male The testicles are inside the scrotum, and the scrotum is outside the human body, the testicles are one of the few “internal organs” located outside the human body, and are susceptible to various external forces that can cause some damage. The testicles are a relatively fragile organ and can easily be seriously injured. Because people are not aware of the seriousness of testicular injuries or are too shy to go to the hospital, the scrotum is obviously swollen and bruised, but they still insist on self-conservative observation and let the condition continue to deteriorate, thus losing the opportunity for timely treatment. Even if the symptoms are gradually alleviated, the testicle may be compressed by the hematoma coagulation on the normal testicular tissues, or secondary infection may occur due to bacterial invasion of the hematoma, and finally the injured testicle is completely destroyed and atrophied, so that the spermatogenic and endocrine functions of the testicle are affected. Sometimes, although the rupture is not too serious, it can also become an antigen because of the spillage of sperm from the rupture, which can cause an autoimmune reaction resulting in infertility. Therefore, after the scrotal injury, if the swelling gradually increases and is accompanied by petechial hemorrhage, the scrotum is obviously bruised, there is severe pain locally or in the groin and you dare not touch it, and you can’t feel the size of the testicle when you feel it carefully, you should think about the possibility of testicular rupture. If you have the conditions, it is best to do “ultrasound” examination to further clarify the diagnosis. Whether the testicular rupture is confirmed or suspected, surgical investigation and repair should be performed as soon as possible to save the broken testicle. But don’t be nervous about a little injury, thinking that the testicle has been ruptured, worrying about the impact on future sexual function and fertility, or sometimes a little developmental defect or temporary dysfunction, and then worry about the consequences of testicular injury. As a result, even if the testicle is perfectly fine, it may cause functional disorders due to excessive worry. In fact, the testicle is located in a dangling position, and to rupture the testicle, the violence of the injury must be great, and the symptoms after rupture are much more serious than the usual contusions. Most of the common clinical scrotal injuries are caused by contusions of the subcutaneous tissue and lining of the scrotum, which do not bring about very serious consequences. Second, varicose spermatic veins varicose spermatic veins are actually very common, but most people are asymptomatic and require surgical treatment when they cause painful scrotal cramps or cause infertility. Varicocele (VC) is a common genitourinary disorder in men and a major cause of male infertility. It is mostly seen in young adults, with an incidence of 10% to 15% of the normal male population and 19% to 41% of male infertility. Varicocele is a vascular spermatogenic disorder caused by the expansion of the spermatic veins and trapezius plexus that surrounds the spermatic cord. It is more common on the left side, but can also occur bilaterally or solely on the right side. The procedure can be performed by retroperitoneal or inguinal, laparoscopic, high ligation of the internal spermatic vein. Testicular epididymitis is mostly caused by the spread of infection from neighboring organs. It is characterized by sudden pain in the scrotal area, swelling of the epididymis and obvious tenderness, which may be accompanied by fever and hard nodules in the epididymis. Chronic testicular epididymitis is often caused by incomplete treatment during the acute stage. In addition, mumps can also complicate viral orchitis. The disease may cause infertility by inducing the formation of anti-sperm antibodies in the male body, blocking sperm travel channels, and reducing sperm motility. The main treatment is medication, if conservative treatment is not effective, surgical intervention can be performed if necessary. Testicular torsion The testicle is connected to the scrotum through the testicular tract, and the testicle is fixed to the scrotum by the testicular tract. After birth, the testicle and spermatic cord are very mobile. If a sudden force or violent shock occurs, the testicle and spermatic cord will twist to a certain extent, which is also called spermatic cord torsion. The onset of testicular torsion is rapid and can occur during sleep, with severe pain in one testicle and scrotum. The pain is initially confined to the scrotum, but later progresses to the lower abdomen and perineum, and may be accompanied by vomiting, nausea or fever, and redness, swelling and pressure in the pubic area. After the diagnosis of testicular torsion is made, immediate surgery should be performed to reset the testicle, and the surgery should be completed within 6 hours of the onset of symptoms. After resetting the torsioned testis and observing normal blood flow, interrupted suture fixation (also known as egg fixation) of the testis, spermatic cord and inner scrotal sheath should be performed to avoid postoperative recurrence. If the blood circulation of the testis is found to be extremely poor during the operation and still cannot be recovered after the reset, only the testis can be removed. In daily life, many patients are paralyzed by testicular torsion and tolerate the pain again and again, thus delaying the early treatment and causing lifelong misfortune as a result of the loss of fertility in some cases. Therefore, patients around the time of puberty who suddenly develop scrotal swelling and pain (egg pain), especially adolescents, should consider the possibility of testicular torsion and go to the urology department of the hospital for examination and treatment in a timely manner. Also urinary stones can present with radiating pain in the scrotum. As for how to differentially diagnose and treat egg pain, it is still a professional content, so I won’t go into details. As long as you know that egg pain can lead to serious consequences, please pay more attention to it and see a specialist in time.