Боли в паховой области у мужчин Pain in the groin area in men can be associated with a wide variety of pathological processes in the body and is a good reason for seeking medical help.

Through a survey and examination of the patient, the doctor determines the exact location of pain and their nature. Pain in the inguinal region can be either over the entire area, or mainly in the right or left side. This location is typical for various diseases:

  • urinary system and terminal part of the gastrointestinal tract;
  • straight or oblique inguinal hernia (see “Symptoms of an inguinal hernia” );
  • injuries in the groin area;
  • infectious-inflammatory process in the external and internal male genital organs.

Where less often pain occurs due to oncology and lymphadenopathy.

Pain in the groin area on the right

If pain occurs predominantly in the right side of the groin, then the cause may be:

  • mechanical injury;
  • inguinal hernia on the right;
  • appendicitis.

In addition to pain syndrome, it is important for a doctor to identify special symptoms. So, with a hernia, in addition to pain in the groin, a specialist through the abdominal wall can feel the hernial protrusion.

If the pain is caused by appendicitis, the doctor diagnoses the symptoms characteristic of peritoneal irritation.

Even more rarely, pain on the right occurs in case of renal colic, when urinary stones, urates, injure the right ureter. However, painful sensations occur not only in the groin area, but are shingles and concentrate in the lower back.

Pain in the groin area on the left

Pain in the left groin area occurs:

  • cystitis (combined with the frequent urge to urinate);
  • with prostatitis (accompanied by difficulty during urination);
  • with right-sided straight or oblique hernia.

In some cases, the pain may be associated with diseases of the large intestine. With proctitis or sigmoiditis, there may be atypical localization of painful symptoms with irradiation (spreading) to the left inguinal region.

Characteristics of pain

Clarifying the nature of pain is a valuable diagnostic information and helps to determine the specific pathological process and its degree. Pain can be whining, pulling, cutting, stabbing, as well as vary in intensity. By time interval they are constant or periodic.

Let's see what diseases are characteristic of certain types of pain:

  • Acute pains with high intensity and long duration are characteristic of a strangulated hernia. When spasm of the abdominal muscles in the hernial ring, its contents, most often the small intestine loop, are squeezed. This causes severe pain and contributes to further spasm. If a hernia is suspected, it is necessary to immediately contact a surgical hospital or call an ambulance for emergency hospitalization. Infringement can lead to necrosis of the intestine and diffuse peritonitis with serious complications (see “Prevention of inguinal hernia” );
  • Acute intense sharp pains at intervals are characteristic of renal colic. The stone obtures the duct of the ureter and irritates its mucous membrane. Compounding pain exacerbates urine outflow. Periodic painful sensations associated with rhythmic muscle contractions of the ureters.
  • Dull aching pains are caused by inflammatory diseases of the bladder and prostate gland. The pain is prolonged, but not pronounced.
  • Pulling pains are characteristic of diseases of the large intestine and can cause false urge to defecate.

It is worth noting that taking analgesics and antispasmodics helps reduce pain and can lubricate the clinic of the disease. The best solution would be immediately in case of severe pain to consult a doctor for advice.

Diagnostics

To establish the clinical diagnosis and start treatment, it may be necessary to conduct additional instrumental and laboratory studies:

  • cystoscopy;
  • ultrasound diagnostics ;
  • computed tomography of the bladder and prostate gland, as well as the kidney and pelvic system.

Watch a video on the diagnosis of groin pain with ultrasound

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