Orchialgia / Phallodynia – Pain in the Testicals or Penis

Pain in the testicle or penis is referred to as orchialgia and phallodynia respectively.  Currently, no data exists regarding the prevalence of chronic testicular or penile pain, however, as component symptoms of the PPOD syndrome, orchialgia and phallodynia are not uncommon.  With respect to orchialgia, the pain is usually described as a deep aching, or sometimes burning pain, and may exhibit a pressure like quality as though the testicle were being squeezed in a vise. 

It may be unilateral or bilateral, and when it is present bilaterally, it may be clearly more intense on one side than the other.  When bilateral testicular pain is present and is clearly more intense on one side than the other, any accompanying pelvic pain will usually (although not always) be more intense on the side of the dominant testicular pain.  Regarding phallodynia, pain in the penis can be somewhat variable in it’s description.

In some cases the pain is described as a sharp or an intense burning pain involving the cutaneous (skin) regions of the penis which makes touch or contact of any type extremely painful, a situation analogous to vulvodynia in the female PPOD patient.  Sometimes this painful hypersensitivity will be accompanied by intermittent periods of diminished sensory perception  which can create a confusing state of alternating painful hypersensitivity interspersed with periods of numbness that can additionally impair sexual function.

In other cases, the pain is more of an internal pain that extends down the center of the penile shaft along the distribution of the urethra.  In these cases urination may provoke a sharp or burning pain within the penis along the urethra.  Although usually a painful burning hypersensitivity and/or numbness may involve the majority of the penis, it can be localized or isolated to the distal half of the penis or penile head.  Refer to cases 5, 9 and 13 for examples of the response of these symptoms to PPOD syndrome treatment.

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5 Responses to “Orchialgia / Phallodynia – Pain in the Testicals or Penis”

  1. steve brody says:

    THE URO DR SAYS IT IS NOT UROLOGICAL NO DR SAID I HAD A VARI CEIL THE OTHER SAID I DO NOT my scotom aches IS IT NERVES OR FROM THE XANAX. THEY SAY IF IT IS ALL IN YOUR HEAD FIND ANOTHER DOCTOR. THIS IS NOT IN MY HEAD IT IS IN MY SCROTOM NO PAIN JUST A LITTLE PRESSURE AND ACHINESS. THE MORE YOU TOUCH IT THE MORE IT ACHES, IT IS NOT BLUE BALL OR AN INFECTION. COULD IT BE COMING FROM THE PELVIC KEGALS EXERCISE?? ANY COMMENTS WILL BE APPRECIATED

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  5. Marc Goldberger says:

    I have a severe pain that comes on I’m my left testical I’ve had MRI and ultrasound Also had a varicose seal embralisation
    My urologist says there is nothing more he can do :-(
    I am 62 Have a reasonably good sex life with no problems
    Could this be stress related ?
    The only relief I get is laying out flat on settee or bed Then after about half an hour the pain goes away
    My doctor has prescribed anti imflamatory tablets So I’m given them a try
    I’m just so very fed up with the pain and not knowing
    I’m normaly quite healthy and I belive you don’t get a pain without there being something wrong
    Hope someone out there can help please ?

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