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Vas deferens pain can signify a number of other conditions that male patients need to be aware of. Although acute pain is not worrisome, when you start to have chronic pain, it is important to get to the bottom of what is causing it and treat it quickly.

The vas deferens is an important anatomical component of male genitalia. This is a channel responsible for transferring sperm from your testicles into your urethra during sexual intercourse [1]. Normally, it is a well-protected structure but when you start to notice vas deferens pain, it will become difficult for you to deal with it. Here, we will explore some of the reasons why you could have vas deferens pain, what symptoms you need to watch out for and finally, vas deferens pain treatment

Causes of Vas Deferens Pain 

When you try to get to the bottom of what is causing your vas deferens pain, it can be quite difficult to determine if the problem is with the vas deferens itself, or with other adjoining organs that could be inflamed. Most of the time, this will be due to another structure entirely.

  • Chronic orchialgia is one possible reason for why you could have vas deferens pain. This is a condition defined by the chronic inflammation of your testicles for a period of at least 3 months. Not only will this manifest as testicular pain but they can also experience moving pain in your vas deferens, epididymis, and scrotum. [2]
  • Inflammation of the epididymis is another possible cause of the when patents may report vas deferens pain. The epididymis is an organ that is responsible for sperm maturation and can become inflamed when you have chronic bacterial infections [3].
  • Vascular strangulation is the form of testicular torsion could also be something potentially dangerous causing vas deferens pain
  • The last thing to consider that can be possible is some type of mass that has presented in your vas deferens as well as your other sexual organs. What could be causing your vas deferens pain could be due to some type of malignancy. Testicular cancer can manifest in its later stages of chronic vas deferens pain. Risk factors for this include a family history or conditions like cryptorchidism. This is a condition where the testicles fail to descend into your scrotal sack and can affect up to 4 percent of male infants. Patients will a history of this condition should regularly meet with their urologists in order to determine if any nodules are present on the testicles to catch testicular cancer early. [4]

Symptoms You Should Watch Out For 

Regardless of the underlying cause of vas deferens pain, the symptoms that a patient will present with will largely be similar. Whether a patient may have epididymitis, chronic orchialgia or some type of malignancy, they will present with mostly unilateral pain. To help differentiate these further, you will often have epididymitis inflammation following an infection with some type of sexually transmitted disease (STD). Patients will often be infected with pathogens such as Chlamydia or N. gonorrhea so patients may also present with some type of foul-smelling discharge from the penis. [5]

Testicular torsion is a type of vas deferens pain that will occur quite suddenly. Patients tend to present more often at night when the vascular is relaxed. Veins that remove blood from the penis can be entangled accidentally and this sudden pressure can strangulate and engorge all sex organs. It is hard to pinpoint exact risk factors that can predispose patients but the anatomy of the testicles seems to be a risk factor to consider. This can be easily diagnosed using ultrasound to check the vascular blood flow in order to save the testicles and other sex organs like the vas deferens from further damage. [6]

The hardest to identify is the one that will present without any obvious symptoms. Testicular cancer is a potential cause of vas deferens pain that will begin as a small nodule on the surface of your testicle without any signs of disease. Only when the vascular becomes more complex as the tumor enlarges will you being to notice not only pain in your testicle but also a residual pain as lymph nodes become engorged in the surrounding vas deferens. Patients who have prior risk factors should routinely self-examine their testicles massaging the surface to determine if they palpate any lumps and report them immediately if they suspect something irregular. [7]

Treatment Options for Vas Deferens Pain 

Vas deferens pain treatment depends solely on the underlying cause of the pain. In cases of chronic inflammation of the testicles or the epididymis, the best option for patients to find relief is to take antibiotic therapy to kill the infection that caused the inflammation. Making sure patients practice safe sex is another proactive approach to stop patients from ever contracting any STD that can lead to chronic inflammation. [8]

If vascular supply is the underlying cause of vas deferens pain, time is a luxury that you do not have in this circumstance. You need to get to an Emergency Department as quickly as possible if you hope to keep your testicles. Patients need to have surgery to untangle the vessels and remove any necrotic tissue that could have formed during the time there was missing blood. [9]

Testicular cancer presents another reason for patients to have their testicles removed. Any form of nodule needs to be removed surgically so the pathologists can determine the type of cancer that you may have. Radiation therapy will subsequently follow to make sure cancer has been completely eradicated. Thankfully, this cancer has one of the best prognoses of all types of cancer so even metastatic cancer can be treated successfully. [10]