Why do my balls hurt after sitting for a long time?

Scrotal pain after prolonged sitting may be caused by local compression, varicocele, chronic prostatitis, epididymitis, or testicular torsion, and can be relieved by adjusting posture, physical therapy, drug intervention, or surgery.

1. Local oppression:

Sitting for long periods of time puts constant pressure on the scrotal area, causing blood circulation to be blocked. The fat layer in the male perineum is thin, and the ischial tubercle directly compresses the perineal nerve behind the scrotum, which may cause radiating pain. It is recommended to stand and move every 30 minutes, choose breathable and pressure-reducing cushions, and avoid wearing tight pants.

2. Varicocele:

Sitting for a long time may aggravate spermatic venous return disorder, with the incidence rate on the left side reaching 15%. The dilation of the venous plexus can produce a swelling sensation and pain that can radiate to the groin. It may be related to factors such as venous valve insufficiency and increased intra-abdominal pressure, and is usually accompanied by symptoms such as earthworm-like masses in the scrotum and aggravation of standing. Mild cases can be relieved by scrotal tape, while severe cases require ligation under a microscope.

3. Chronic prostatitis:

Pelvic congestion may induce nonbacterial prostatitis, which accounts for approximately 90% of chronic pelvic pain syndromes. Pain is often located in the perineum and may be induced by factors such as sitting for a long time, drinking alcohol, etc., and is usually accompanied by symptoms such as frequent urination and discomfort during urination. It is recommended to avoid spicy food and use warm water sitz bath to relieve symptoms.

4. Epididymitis:

Bacterial retrograde infection may cause swelling and pain in the epididymis, and the body temperature can reach above 38°C in the acute stage. It may be related to factors such as urinary tract infection and catheterization, and usually presents with symptoms such as local redness, swelling, and obvious tenderness in the scrotum. Urine culture examination is required, and sensitive antibiotic treatment is selected according to the pathogen.

5. Testicular torsion:

Sudden sitting after strenuous exercise may induce testicular rotation, which may lead to necrosis if not treated within 6 hours. The pain is stabbing and may be accompanied by nausea and vomiting. Color Doppler examination needs to be carried out immediately. After diagnosis, emergency surgical reduction and fixation should be performed. The golden rescue period is 4-6 hours after the onset of illness.

Regular exercise habits should be maintained in daily life, and swimming, jogging and other exercises to improve pelvic blood circulation are recommended. Pay attention to supplementing vitamin E and zinc in your diet, and eat pumpkin seeds, oysters and other foods in moderation. Avoid long periods of riding or driving, and use a standing desk to alternate positions while working. If the pain lasts for more than 48 hours or is accompanied by fever, hematuria and other symptoms, it is recommended to immediately seek medical advice from a urology department for a scrotal ultrasound examination.