Groin pain in men

Groin pain in men is observed with inguinal hernia, inflammation of regional lymph nodes on the background of STDs, diseases of the genitals and urinary system, some injuries, orthopedic pathologies. It can be acute, dull, weak, intense, constant, periodic. Sometimes it is supplemented with edema, hyperemia. Local external deformations are possible. The cause of the symptom is established on the basis of survey data, external examination, ultrasound, radiography, laboratory tests. In some cases, biopsy sampling is required. Treatment includes painkillers and antimicrobials, physiotherapy, surgery.

Why do men have groin pain
Inguinal hernia
Inguinal lymphadenopathy
Andrological diseases
Urinary tract diseases
Appendicitis
Pathology of the musculoskeletal system
Diagnostics
Treatment
Assistance at the pre-hospital stage
Conservative therapy
Surgical treatment
Prices for treatment
Why do men have groin pain
Inguinal hernia
Inguinal hernias are the most common type of hernial protrusion, occurring in men 6 times more often than in women. The disease develops acutely or gradually. The patient complains of the presence of a tumor-like formation, periodic or constant pain in the groin, radiating into the sacrum, lower back. Involvement of the cecum is manifested by constipation, flatulence, bladder dysuria, pain over the pubis.

Infringement of a hernia is characterized by a sharp increase in pain syndrome at the height of tension, physical effort. The intensity of the symptom is so great that the patient cannot find a place for himself, moans. Due to pain shock, pallor, hypotension, tachycardia occur. A clinic of intestinal obstruction is possible. Severe pain persists for several hours, then subsides due to the development of necrosis and death of nerve endings.

Some men develop recurrent inguinal hernia after hernioplasty. The manifestations are the same as with a normal hernia. In the area of the postoperative scar, a bulge is formed, aching and pulling pains in the projection of the groin are bothering. Possible discomfort while walking. As the education increases, dyspeptic disorders or dysuria phenomena join.

Inguinal lymphadenopathy
Pain in the groin against the background of an increase in inguinal lymph nodes, as a rule, indicate the presence of an infectious process, most often appear with STIs:

Chlamydia. The acute form develops more often in men. It is accompanied by bilateral inguinal lymphadenopathy. Palpation of the nodes is slightly painful. The skin is not changed. There are pains in the lower abdomen, mucopurulent discharge from the urethra.
Gonorrhea. Lymph node enlargement is more often bilateral. There is soreness on palpation, slight redness of the skin. Purulent urethral discharge in the morning, dysuric disorders are characteristic.
Mycoplasmosis and ureaplasmosis. With moderate inflammation, the groin skin is not changed, with intense inflammation, it is hyperemic. Feeling the lymph nodes is painful. Patients complain of mucopurulent discharge, pain, pain during urination.
A special form of lymph node lesion is inguinal lymphogranulomatosis – a disease caused by chlamydia, observed mainly in warm countries. In Russia, it is diagnosed in sailors, travelers, and military personnel. Regional lymphadenitis occurs 2-4 weeks after infection. It is manifested by soreness and enlargement of lymph nodes, local edema, hyperemia. The nodes transform into lumpy large tumors, fuse with the surrounding tissues, become immobile, and then melt with the formation of fistulas and ulcers.

In addition, inguinal lymphadenitis is accompanied by balanitis, Fournier gangrene, and some other infectious and inflammatory processes. Nodes are enlarged, painful, mobile on palpation. Lymphadenopathy can also be observed in oncological diseases of the external genitalia, but pain in such cases does not always bother, it occurs due to compression of nearby nerves.

Groin pain in a man
Andrological diseases
Men complain about the presence of a symptom in the following pathologies of the genitals:

Orchit. There is pain in the testicle, perineum, groin area. In the acute form, the pain is intense, the testicle is sharply edematous, weakness, bruising, general hyperthermia are observed. In patients with chronic orchitis, the sensations are aching or pulling, the general condition is not disturbed.
Twist the testicles. The development of pathology is evidenced by acute sudden sharp pain in the scrotum, radiating into the groin and perineum. The symptom is so pronounced that it provokes collapse, nausea, vomiting.
Funicular. The cyst of the spermatic cord in young men is more often asymptomatic, large formations cause discomfort in the groin. In old age, there may be aching pains.
Varicocele. Pain in the scrotum, groin area occur at stage 2 of the disease, ranging from mild to sharp, burning or shooting. At first, there is a connection with physical activity. At stage 3, the connection is lost, the symptom becomes permanent.
Manifestations of epididymitis, epididymoorchitis and vesiculitis resemble the clinical picture of orchitis and can also be accompanied by pain in the groin. Soreness is found in the syndrome of edematous scrotum, provoked by ischemia, injuries, infectious diseases. With prostatitis, pain in the perineum is often given to the groin. In men suffering from prostate adenoma, the symptom appears in the late stages, due to complications from the urinary system.

Urinary tract diseases
Acute pain in the groin area is sometimes caused by a low-lying concretion. The symptom appears suddenly, differs in significant intensity. Pain in the lumbar and inguinal regions radiate into the external genitals and bladder, combined with frequent urge to urinate, blood in the urine. Similar manifestations, but with less severe pain, are observed with sand in the kidneys against the background of its movement along the urinary tract.

The list of other pathologies of the urinary system with pain in the groin , taking into account the level of lesion , includes:

Urethra: urethritis.
Bladder: cystitis in men, bladder cancer, malacoplakia.
Ureters: ureteritis, hydroureter.
Kidneys: adenocarcinoma, hydronephrosis.
Appendicitis
With a low location of the inflamed appendix, acute appendicitis is manifested by paroxysmal pains in the right inguinal and iliac regions. The clinical picture is complemented by nausea, vomiting, diarrhea, and an increase in body temperature. In men with chronic appendicitis, the pain is dull, aching, constant or arising under the influence of provoking factors (diet disorders, physical activity).

Pathology of the musculoskeletal system
ARS syndrome is diagnosed in men engaged in sports, characterized by pain in the groin, radiating into the muscles of the thigh and lower abdomen from the side of the lesion. Manifestations are associated with physical activity, ranging from minor to intense. Soreness increases with feeling of tendons, ligaments, tension of the muscles of the anterior abdominal wall, hip abduction.

The symptom also occurs against the background of sprains of the hip joint, in

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