Pain in the groin and radiates to the leg in men

What are the causes of groin pain in men: right, left

In the groin region, that is, at the junction of the lower abdomen with the thigh, there is an inguinal canal with large blood vessels and nerves of the thigh.

In men, the spermatic cord is located in this area; in women, the round uterine ligament is located. If there is a hernia in the inguinal canal, intestinal loops may also descend into the same area.

Groin pain in men can occur for many reasons, and you should take its symptoms seriously, since such sensations are a sign of problems with internal organs. The localization of pain in the groin area may be due to its transmission from the source of the disease located elsewhere in the body.

Pain in the groin area may be a symptom of a genitourinary disease. It is necessary to diagnose and identify possible problems immediately after the appearance of pain of any nature.

Causes of groin pain in men

Pain in the groin area in men can occur for many reasons. The symptoms of pain should be taken very seriously, as they indicate a malfunction of the internal organs. Pain in the groin in men can appear on both the right and left; its localization depends on the source of the disease, which can be located in a completely different part of the body, but radiates to the groin area.

Why might it arise? Let's look at the most common cases:

1. Inguinal hernia. It is a fairly likely reason that a man experiences pain in the groin area and if the hernia forms on the left side, then the pain, which is logical, will be in this part of the groin area. One of the most obvious signs of the presence of an inguinal hernia is, in addition to pain in the corresponding place, swelling in this area, and this symptom manifests itself most clearly when the man is in an upright position, that is, standing.
2. Spermatic cord cyst. It occurs mainly in men aged 35 years and older; at a younger age, this pathology is a rare occurrence. It is manifested by the appearance of a round elastic soft swelling in the scrotum area, usually painless. Aching pain in the groin on the left appears only when the cyst, growing, reaches a large size and begins to compress nearby nerves and vessels.
3. Pain in the testicles, accompanied by aching pain in the groin, may be a sign of such a common disease as prostatitis. At different periods of life it is diagnosed in 60% of men. In this case, pain during urination and erectile dysfunction are also noted.
4. Orchitis. The main symptom of this disease is severe pain in the groin and testicles, which becomes stronger with movement and walking. There is redness and swelling of the scrotum, sometimes nausea, vomiting, headache, general weakness, and body temperature may rise.
5. Vesiculitis is inflammation of the seminal vesicles. Depending on the course of the disease, pain may vary. The acute form is characterized by severe pain, covering the groin area, lower abdomen and perineum. May spread to the lower back and sacrum. In the chronic form of the disease, patients feel nagging, aching pain that spreads to the groin area, perineum, and also the lower back.
6. Varicocele. It is manifested by such signs as periodic dull, drawing diffuse pain in the groin area on the left, and the pain can often “radiate” in the direction opposite to the painful focus. The clinical manifestation of the pathology can sometimes be limited only to a feeling of heaviness and discomfort in the groin area.
7. Infectious diseases of the pelvic organs. Pain in the groin in men can be associated with infections that are sexually transmitted and cause the development of serious diseases (gonorrhea, syphilis, mycoplasmosis, chlamydia, etc.). During these pathologies, the pain is acute, accompanied by fever and chills.
8. The cause of periodic pain on the right side may be renal colic. Usually, pain in the groin on the right appears suddenly, radiating sharply to the side, leg and lower back. The acute pain that appears can be caused by a kidney stone located low in the duct. The duration of an attack can be minutes or several days. The center of pain, when there is a pulling in the groin, can be in the lower back and radiate to the hypochondrium, the bladder area.
9. Groin pain in men can radiate to the right side. In this case, symptoms may indicate the presence of appendicitis. If you feel a tingling sensation in your right side, you should immediately consult a doctor. Painful feelings in this case may intensify gradually. They begin in the epigastric region and then go down to the lower abdomen. It is worth paying attention that when walking, the pain may intensify and radiate to the intestinal area.
10. The occurrence of painful sensations in the groin may be associated with osteochondrosis of the lumbar spine, in which the nerve roots leading to the groin area are pinched. In this case, pain is also felt in the affected part of the spine and radiates to the upper inner surface of the thigh. With lumbar osteochondrosis, compression of the femoral-genital or other nerves of the lumbar plexus is possible, which can lead to significant impairment of sexual function, difficulty defecation and urination.

If any of the symptoms appear, consultation with a specialist is necessary, since the disease is much easier to treat in its initial stage. And remember that self-medication can cause serious complications.

The diagnostic process always begins with a survey of the patient or the so-called history taking, during which the doctor finds out the patient’s complaints, determines their nature, receives general biographical information, as well as the necessary information about the development of the existing disease.

If there is pain in the groin area, a specialist usually identifies the following aspects:

11. the conditions under which the pain occurred;
12. onset of pain (eg, acute or gradual progression of pain);
13. the nature of the pain (for example, stabbing, throbbing, dull, aching, squeezing);
14. duration of pain (for example, quickly subsiding or lasting several hours or days);
15. localization and irradiation (reflection) of pain (determining the location of any pain);
16. pain intensity (eg, mild, moderate, or severe);
17. the presence of factors that reduce pain (for example, a certain position of the patient);
18. the presence of factors that provoke or intensify pain in the groin (for example, physical activity, ejaculation);
19. the presence of accompanying symptoms (for example, painful urination, increased body temperature, rashes on the external genitalia).

So, if you experience pain in the groin area, you should immediately visit a doctor. The sooner the problem is identified, the less its consequences will be and the faster the treatment. The following can help in solving such problems: a urologist, a surgeon, a neurologist, an oncologist. After the examination, if necessary, consultation with other specialists may follow.

Groin pain in men. Pain in the groin on the left, right, nagging, aching pain in the groin area, lower abdomen

FAQ

The site provides reference information. Adequate diagnosis and treatment of the disease is possible under the supervision of a conscientious doctor.

Anatomy of the groin region in men

Prostate

Urethra

20. prostate or prostatic part;
21. intermediate or membranous part ( the shortest );
22. spongy or cavernous part ( longest ).
23. back part – base or root;
24. intermediate part - body or trunk;
25. the front part is the head.

At the top of the head of the penis is the opening of the urethra. Through it, both sperm are released and urination occurs.

26. skin;
27. fleshy shell;
28. external spermatic fascia;
29. fascia of the muscle that lifts the testicle;
30. the levator testis muscle;
31. internal spermatic fascia;
32. inguinal membrane of the testicle, consisting of a visceral and parenteral layer.

In the cavity of the scrotum there are two testicles with appendages, as well as the initial section of the spermatic cord.

33. produces the male sex hormone testosterone ( determines all male sexual characteristics );
34. forms spermatozoa - male reproductive cells.

In the cavity of the testicles there are connective tissue septa that divide the organ into two hundred to two hundred and fifty lobules. Each lobule contains several seminiferous convoluted tubules, within which the process of spermatogenesis ( the formation and development of male germ cells ) occurs. The path of the convoluted tubules is continued by the straight and efferent tubules. The latter open into the duct of the epididymis, stretch along a winding path and at the very end pass into the vas deferens.

Vas deferens

35. testicular part , passing behind the testicle and corresponding to its length;
36. funicular part , which is part of the spermatic cord;
37. inguinal part , passing in the inguinal canal;
38. pelvic part , which originates from the internal opening of the inguinal canal and ends at the bottom of the bladder.

At the bottom of the bladder, the vas deferens connects with the duct of the seminal vesicle. Together they form the common vas deferens, which pierces the prostate gland and opens into the prostatic part of the urethra.

What structures can become inflamed in the groin in men?

39. kidney;
40. Bladder;
41. ureters;
42. urethra;
43. seminal vesicles;
44. prostate gland;
45. testicles and their appendages;
46. penis;
47. large intestine ( appendix, cecum, sigmoid colon and rectum );
48. groin muscles;
49. inguinal ligaments;
50. inguinal lymph nodes;
51. nerves of the lumbar plexus ( for example, iliohypogastric, ilioinguinal ).
52. digestive;
53. urinary;
54. sexual;
55. musculoskeletal and nervous.

Digestive system

56. hard labour;
57. congenital pathology of connective tissue;
58. thinning of the aponeurosis;
59. expansion of the umbilical and inguinal rings.
60. blockage of the appendix gate with undigested food particles ( for example, grape seeds, sunflower seed husks );
61. violation of the passage of feces and their stagnation;
62. various chronic diseases of the abdominal organs ( for example, colitis, enteritis );
63. some infectious diseases that independently cause appendicitis ( for example, tuberculosis, typhoid fever );
64. abdominal injuries;
65. anomalies in the structure of the appendix.
66. pain that is initially localized in the center of the abdomen, and after some time shifts to the left iliac region ( lower abdomen on the left );
67. painful sensations can radiate ( give ) to the groin area, lower back and leg;
68. abdominal muscle tension;
69. nausea;
70. vomit;
71. stool retention.
72. mechanical reasons ( for example, tumor processes ) leading to intestinal blockage;
73. dynamic causes ( for example, injuries ) that disrupt intestinal motility.
74. various diseases ( for example, diverticular disease, ischemia ) causing structural disorders of the large intestine;
75. various factors ( for example, poor nutrition, stressful situations, ignoring the urge to defecate ) that contribute to impaired intestinal motility;
76. taking certain medications ( for example, non-steroidal anti-inflammatory drugs, narcotic painkillers ).
77. bloating;
78. pain and feeling of drinking in the abdomen, especially in the left iliac region with possible irradiation ( reflection ) to the groin area;
79. feeling of incomplete bowel movement;
80. decreased appetite;
81. belching;
82. change in skin color and consistency - the skin takes on a pale appearance with a yellowish tint, loses its elasticity and becomes flabby.
83. intestinal diseases ( eg ulcerative colitis, diverticulitis, polyps );
84. unhealthy diet ( for example, a predominance of fatty and starchy foods in the diet );
85. lack of physical activity;
86. smoking;
87. alcohol abuse;
88. elderly age.

Clinical manifestations of pain depend on the location of the tumor. If the sigmoid and rectum are affected, pain will occur directly in the left iliac and groin region.

urinary system

89. genetic predisposition;
90. inflammatory diseases of the excretory system ( for example, cystitis, prostatitis );
91. metabolic diseases ( diseases of the thyroid and parathyroid glands );
92. chronic diseases of the gastrointestinal tract ( for example, pancreatitis, enteritis );
93. anatomical defects of the urinary tract ( for example, anomalies in the development of the kidneys, narrowing of the ureters );
94. unhealthy diet ( for example, abuse of meat, as well as spicy, sour and fatty foods );
95. insufficient intake of vitamins into the body;
96. obesity.
97. hormonal disorders;
98. injury to the mucous membrane of the bladder;
99. hypothermia;
100. stagnation of urine in the bladder ( for example, with prostate adenoma, urolithiasis );
101. decreased immunity.
102. piercing pain in the lower abdomen and groin, aggravated by urination;
103. increased body temperature;
104. presence of blood in the urine;
105. cloudy urine;
106. frequent urination ( up to twenty times a day ).
107. elderly age;
108. hazardous working conditions ( for example, miners, workers in the production of rubber or plastic products );
109. the presence of diseases that impair the outflow of urine ( for example, urolithiasis, prostatitis ).
110. infectious - caused by specific and nonspecific bacterial flora ( for example, gonococci, staphylococci, gardnerella ), infection of which most often occurs during unprotected sexual intercourse with a sick partner;
111. non-infectious - these can be various injuries to the urethra ( for example, due to the passage of a stone, during catheterization of the bladder ), allergic reactions.
112. burning, stinging and pain when urinating;
113. feeling of heaviness in the groin area.

As a rule, there is no change in the general condition of a patient with urethritis.

114. sexually transmitted diseases;
115. inflammatory diseases of the genitourinary system ( for example, urethritis, prostatitis );
116. promiscuous sex life;
117. frequent catheterization of the bladder.
118. scanty transparent discharge from the urethra;
119. presence of compaction along the urethra;
120. pain when urinating;
121. enlarged inguinal lymph nodes.
122. sexually transmitted infections;
123. infectious and inflammatory processes in the genitourinary organs ( for example, gonorrhea );
124. chronic inflammatory diseases of other organs ( for example, inflammation of the tonsils, maxillary sinus );
125. traumatic injuries of the urethra.
126. signs of intoxication of the body ( for example, weakness, loss of appetite, headache );
127. difficult, frequent and painful urination up to acute urinary retention;
128. severe sharp pain in the groin, rectum and perineum, aggravated by defecation.

The main reason for the development of this disease is hormonal imbalance. In this case, prostate adenoma is most often observed in older men, since with age a man experiences a decrease in the level of testosterone ( male sex hormone ) and an increase in estrogen ( female sex hormone ). This hormonal imbalance subsequently contributes to the pathological growth of prostate tissue.

129. hereditary predisposition;
130. hormonal imbalances;
131. unhealthy diet ( for example, consuming large amounts of fatty foods );
132. irradiation with ultraviolet rays;
133. harmful working conditions ( for example, working with cadmium );
134. viral infections.
135. spastic pain in the perineum and groin;
136. frequent urge to urinate;
137. feeling of incomplete emptying of the bladder;
138. difficulty urinating;
139. urinary retention.
140. chronic inflammatory diseases ( for example, prostatitis, cystitis );
141. sedentary lifestyle;
142. weakened immune system;
143. frequent constipation.
144. pain in the perineum and above the pubis, radiating ( radiating ) to the groin area;
145. increasing pain during defecation and with a full bladder;
146. pain during ejaculation;
147. possible discharge of pus and blood in urine or semen;
148. headache;
149. general malaise.
150. infectious and viral diseases ( for example, pneumonia, influenza );
151. groin injuries;
152. factors that cause stagnation of blood in the pelvic organs ( for example, excessive alcohol consumption, horse riding ).
153. relatively large length of the spermatic cord;
154. lengthening of the testicular ligament;
155. wide cavity of the vaginal membrane of the testicle;
156. physical stress or sudden movement;
157. injuries.
158. due to non-compliance with personal hygiene rules;
159. with phimosis ( narrowing of the foreskin );
160. due to mechanical and chemical irritations.

Secondary balanoposthitis occurs against the background of various diseases ( for example, syphilis, gonorrhea, diabetes mellitus ).

161. pain, burning and itching in the area of ​​the glans penis;
162. there is hyperemia ( redness ) and swelling of the foreskin;
163. pathological changes are observed in the skin of the glans penis and foreskin, in the form of cracks and ulcerations;
164. purulent discharge appears from the urethra.
165. pain in the groin area;
166. ulcerative formations on the external genitalia;
167. white, slimy, or foamy discharge from the penis;
168. painful and frequent urination;
169. enlargement of the inguinal lymph nodes and their pain on palpation.

Musculoskeletal and nervous system

170. groin injuries;
171. lesions of the lumbar plexus nerves.
172. injuries;
173. tumor-like neoplasms or massive hematomas leading to compression of nerves;
174. inflammatory processes localized in the retroperitoneal space.

Diagnosis of the causes of groin pain in men

175. interviewing the patient;
176. objective examination;
177. laboratory diagnostics;
178. instrumental diagnostics.
179. onset of pain ( eg, acute or gradual development of pain );
180. the nature of the pain ( for example, throbbing, stabbing, dull, aching, squeezing );
181. intensity of pain ( eg, mild, moderate, or severe );
182. localization and irradiation ( reflection ) of pain ( determination of the location of any pain );
183. duration of pain ( for example, quickly subsiding or lasting several hours or days );
184. the presence of factors that provoke or intensify pain in the groin ( for example, physical activity, ejaculation );
185. the presence of factors that reduce pain ( for example, a certain position of the patient );
186. the presence of accompanying symptoms ( for example, painful urination, increased body temperature, rashes on the external genitalia ).

Also, for pain in the groin area and external genitalia, the following information is of particular importance:

• the patient's sex life ( for example, number of sexual partners, cases of unprotected sexual intercourse );
• past diseases ( for example, viral hepatitis, diabetes, sexually transmitted diseases );
• the presence of hereditary diseases in direct relatives ( for example, peptic ulcer disease, cancer pathologies );
• presence of bad habits ( for example, smoking, drinking alcohol, taking drugs );
• harmful working conditions ( for example, hypothermia, heavy lifting, inhalation of harmful substances );
• the presence of allergic reactions;
• nutrition of the patient in qualitative and quantitative terms.

Objective examination

• condition, position and behavior of the patient;
• color and condition of the skin and visible mucous membranes;
• the presence and localization of skin rashes and other visible pathological changes.

Often, objective methods of examining a patient allow the doctor to immediately suspect a particular pathology that provoked pain in the groin area. For example, asymmetry of the abdomen during examination of the patient may indicate intestinal obstruction, and a dense elastic protrusion in the groin area usually indicates the presence of an inguinal hernia. Muscle tension in the right iliac region and increased pain during percussion are usually observed in acute appendicitis.

• swelling and redness of the urethra;
• discharge of pus from the urethra;
• various rashes and ulcerations on the penis;
• nodular seals and infiltrates in the skin of the foreskin of the penis;
• painful and follicular abscesses;
• inflammation of the lymphatic vessels on the dorsum of the penis;
• hyperemia, swelling and asymmetry of the scrotum;
• pain in the scrotum and testicle;
• varicose veins of the testicles.

Laboratory diagnostics

Instrumental diagnostics

• X-ray diagnostics;
• endoscopic diagnostics;
• ultrasound examination.
• cystoscopy - examination of the bladder;
• ureteroscopy - examination of the ureter;
• colonoscopy - examination of the mucous membrane of the colon.

Endoscopic research methods make it possible to identify various pathological changes in the organ under study ( for example, erosions, ulcers, tumors ). Moreover, with the help of an endoscope, it is possible to sample cells or tissues of the organ under study for additional cytological or histological examination, as well as perform a number of surgical procedures ( for example, to remove polyps or foreign bodies ).

What to do for groin pain in men?

• drug treatment;
• surgery;
• physiotherapeutic treatment.

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What to do for pain in the right groin in men?

Pain in the groin on the right is not a rare phenomenon; representatives of the stronger sex of different ages are susceptible to this ailment, and is especially common in men over the age of 35. Men turn to specialists for help, too late when complications arise. There are many causes of pain in the groin; it can radiate from a completely different place. To better understand this unpleasant phenomenon, let's consider the anatomy of a man.

What is on the right side of the groin area?

The groin region is located from the lower edge of the abdominal cavity to the thigh. In men, this part contains the prostate, the urinary canal, part of the intestines, as well as the inguinal canal, measuring from 5 to 7 centimeters, in which the spermatic cord, nerves and blood vessels pass. The anterior wall connects the oblique muscles of the abdominal cavity and is capable of elevating the testicle. Anatomically, the canal is located so that the percentage of development of inguinal hernia in men is higher than in women.

Symptoms of a right-sided inguinal hernia

If a man complains of pain in the right side of the groin, then first of all, the doctor will think about a hernia. It is distinguished by a sharp (sometimes diffuse) pain in the lower abdomen. An inguinal hernia develops as a result of weakness and thinning of the abdominal wall, which causes protrusion of the intestines and greater omentum beyond the boundaries of the inguinal canal.

Warning symptoms include:

• Weak tremors in the groin during coughing.
• Noticeable protrusion on the right side (may not hurt).
• When pinched, there is acute pain and burning.
• After physical activity, the compaction becomes noticeably larger.
• If the patient is laid down, the hernia is quite simply reduced into place.

Inflammation of appendicitis

When pain is caused by the appendix, it is fairly easy to distinguish due to obvious symptoms.

• Temperature increase.
• Vomit.
• Dull pain in the lower abdomen.
• Whitish tongue.
• Cardiopalmus.
• Frequent urge to urinate.
• Unpleasant sensations in the mouth caused by dryness.
• Diarrhea.
• Weakness throughout the body.
• Lack of appetite.
• Irritability.
• By the end of the first day, the stomach in the right side of the groin becomes tense.
• On the second day the temperature drops below 36°C.
• By the end of the third day, the tongue becomes brown, the stomach becomes bloated, and the temperature is below 40.
• When the scrotum is weakly pulled, a stabbing pain appears in the right testicle.

Urolithiasis disease

In men, the symptoms of urolithiasis due to anatomical features are more pronounced. They are always accompanied by pain, replenishment of the urinary canals and bring a lot of unpleasant sensations.

It's time to sound the alarm if a man notices the following deviations.

• Unusual urination.
• The urine becomes cloudy and contains blood or pus.
• Colic in the lumbar region.
• There are attacks of sharp pain in the groin, in the inner thigh.
• Severe weakness.
• Vomiting.
• Stool disorders.
• Fever.

Renal colic occurs when stones block the ureter and urine collects in the kidneys.

Causes of inguinal hernia

Inguinal hernia occurs in men of any age. Moreover, a hernia can be congenital or acquired.

The main causes of acquired hernia:

• Decreased elasticity of the muscles of the inguinal canal and the tone of connective tissues.
• Frequent lifting of heavy weights.
• Abdominal injuries or previous surgeries.
• Chronic disorders of the gastrointestinal tract.
• Overweight.
• Sedentary lifestyle and lack of physical activity.
• Poor nutrition.
• Heredity.
• Advanced age (associated with age-related weakening of muscles and tissues)
• Chronic cough, constantly tearing the groin.

What leads to urolithiasis

Aching pain in the right side of the groin due to urolithiasis appears when stones, as they move along the ureter, cause severe inflammation or block the urinary canal. After blockage, the walls of the ureter stretch and spasm occurs, which causes severe pain.

Of the possible causes of urolithiasis, we highlight the main ones:

• Climatic conditions. At prolonged elevated air temperatures, profuse sweating occurs; salts in the body do not have time to completely dissolve and be eliminated. As a result, they accumulate in critical quantities.
• Hard water. By drinking unsoftened water, a person accumulates urolysates in the body. The same picture is observed in people who abuse coffee and tea.
• Lack of clean water . A person needs to drink at least 2 liters of plain water per day so that the kidneys do a good job of removing excess salt and substances that the body does not need.
• Low physical activity. A sedentary lifestyle leads to metabolic disorders, which contributes to the occurrence of urolithiasis.
• Gastrointestinal diseases. With chronic diseases of the gastrointestinal tract, the risk of developing urolithiasis increases by 30%.
• Metabolic abnormalities. High levels of phosphate salts, uric acid, calcium.

There can be many causes of appendicitis in a healthy man.

• The appendix turned out to be blocked (fecal remains, rarely worms).
• Previous or existing infectious intestinal diseases (typhoid fever, tuberculosis, etc.)
• Swelling of the walls of the appendix. This prevents the appendix from emptying and leads to inflammation.
• Insufficient supply of nutrients to the appendix due to problems with the veins.
• Monotonous diet poor in vitamins.
• Congenital pathologies of nearby organs.

Correct diagnosis of inguinal hernia in men

An experienced doctor will be able to identify an inguinal hernia by visually examining the patient and performing simple palpation. Often the patient is asked to perform several simple exercises and then their condition is examined.

Special tests include:

• Ultrasound of the scrotum and its lumen with a lamp. The procedure will show the presence of fluid or intestinal loops inside.
• Blood analysis.
• Analysis of urine.

How to detect appendicitis

Appendicitis develops gradually and it is very important to catch the initial signs of the disease. By seeking medical help in a timely manner, you can not only save your life, but also undergo more gentle treatment. And after rehabilitation, you can return to your normal life within a week. The following manipulations can help accurately diagnose appendicitis in men:

1. When you press on the right side of the groin area, the right testicle is pulled towards the upper edge of the scrotum.
2. After the pressure stops, the testicle takes its previous position.
3. When pressing on the anterior abdominal wall, the right testicle rises upward. This can happen without intervention.
4. When the base of the scrotum is pulled, a sharp pain may appear in the area of ​​the right testicle.
• Blood analysis . They look at the number of leukocytes.
• Analysis of urine. The amount of protein in the urine is analyzed.
• X-ray. Needed to detect fecal stones.
• Classic ultrasound.
• CT scan.

How is urolithiasis diagnosed?

Urolithiasis is insidious because it has similar symptoms to other serious diseases. Such as radiculitis or acute pancreatitis. In this case, accurate diagnosis becomes simply necessary. Moreover, the examination should be multifaceted, aimed at determining the number of stones and their exact location.

What are the reasons for groin pain in men?

Groin pain in men can occur for many reasons, and you should take its symptoms seriously, since such sensations are a sign of problems with internal organs. The localization of pain in the groin area may be due to its transmission from the source of the disease located elsewhere in the body. Pain in the groin area may be a symptom of a genitourinary disease. It is necessary to diagnose and identify possible problems immediately after the appearance of pain of any nature.

What causes the localization of pain on the right and left?

Anatomically, the groin region is located on the border of the attachment of the abdominal region to the thigh. It contains the spermatic cord, large vessels, intestinal loops, and various muscle groups. You should pay attention to pain radiating to the right side. Pain in the right side can be a symptom of appendicitis, in which case it can increase gradually, starting in the pit of the stomach and going down. When moving, the pain in the right groin in the presence of appendicitis may intensify.

The cause of periodic pain on the right side may be renal colic. Usually, pain in the groin on the right appears suddenly, radiating sharply to the side, leg and lower back. The acute pain that appears can be caused by a kidney stone located low in the duct. The duration of an attack can be minutes or several days. The center of pain, when there is a pulling in the groin, can be in the lower back and radiate to the hypochondrium, the bladder area.

The appearance of swelling, more pronounced in a standing position and accompanied by pain in the groin area, is a sign of a right-sided hernia. In this case, a loop of intestine protrudes through a hernial opening formed in the muscle wall. With a small hole and a large loop, the hernia in the groin area can be pinched. In this case, the blood supply process is disrupted and rapid destruction of the area pinched in the hernial opening of the groin on the right is possible. In such a situation, a man needs urgent surgical intervention.

Pain in the left groin can be due to several reasons:

• It may indicate an existing genitourinary infection. The presence of inflammation is expressed by difficulty urinating, pain in the lumbar region, and there may be mucus and blood in the urine.
• Left-sided pain in the groin area in the presence of swelling can be explained by the appearance of a left-sided hernia.
• If there is a painful pulsation radiating to the side, then there may be a low-lying kidney stone.

The appearance of such symptoms, accompanied by pain in the left groin, requires urgent consultation with a surgeon and urologist. Lack of proper and timely treatment in men can result in problems such as impotence and infertility.

What happens when the prostate becomes inflamed?

Painful sensations may be signs of developed prostatitis. Inflammation of the gland is accompanied by a similar pain syndrome in 50% of cases. Early diagnosis is of great importance for the treatment of acute prostate disease. It is possible by contacting a medical specialist immediately after the appearance of groin pain in men. The doctor, based on the results obtained during the examination, will prescribe treatment, which will help prevent complications and the transition of prostatitis to a chronic process.

The chronic form of the disease can also manifest itself as pain in the groin area. This type of prostatitis is symptomatically less acute, but is very dangerous. If inflammation lasts for a long time, it can affect other organs (intestines, bladder) of the pelvic area, significantly worsening the man’s condition.

Chronic prostate disease may be indicated by periodic nagging pain, the repetition of which should be the reason to consult a doctor.

Chronic prostatitis, if left untreated, can lead to erectile dysfunction and male infertility.

What else causes pain?

Inflamed lymph nodes can also cause pain. Usually a group of lymph nodes located near the pathological focus becomes inflamed. If compaction and enlargement of the lymph nodes occurs in the groin area, then the phenomenon can be caused by several reasons:

• The cause may be a fungal infection or foot injury. Since the lymph flow from the feet passes through the lymph nodes of the groin area, the transfer of infection can provoke inflammation of these nodes.
• Inflammation can be caused by infections transmitted through sexual contact.
• The nodes may enlarge under the influence of tumors localized in the organs of the pelvic area.
• The causes of enlarged lymph nodes may be diseases of the male genital area.

If the lymph nodes are enlarged, it is necessary to quickly identify the source of infection and carry out the necessary treatment.

If a man has pain in the groin, then one can suspect the presence of a number of other diseases, including acute cystitis (giving nagging pain in the groin), herpes, cysts in the spermatic cord area, varicose veins, problems in the intestines (obstruction, dysbacteriosis) and osteochondrosis of the spine. If the pain radiates to the leg, it may be caused by injury, neoplasm, urological disease or hernia. Another reason for pain in the groin in men may be pinching in the lower parts of the spine or the presence of problems with the hip joints (coxarthrosis, arthritis).

If there is pain in the groin in men, then the right action would be to immediately visit a doctor. In this case, you can contact a surgeon, neurologist, urologist or oncologist. The doctor may refer the patient for consultation to other specialists, since in order to find out why the groin hurts, a comprehensive diagnosis is needed. Treatment may also require a combination of different methods. The success of treatment if the groin hurts largely depends on the timeliness of providing the man with medical care.

Prevention of pain involves organizing a healthy lifestyle, timely detection and treatment of foci of infections in the body. If a problem has arisen, it can be eliminated only after clarifying the question of why a man’s groin hurts. It is important to pay close attention to determining the location of the pain - in the right groin or on the left - the degree of its intensity, frequency, nature (sharp, aching or pulling). Attentive attention to the manifestations of the disease will help to quickly determine the causes that caused it and cure the disease.

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What diseases cause groin pain in men?

The groin area is the part of the abdominal wall from below that attaches to the femur. The inguinal canal is located in the same area. The large femoral vessels, spermatic cord and urethra pass through this canal.

The groin resembles a triangular shape. The anatomy of the groin area in males is more prone to the formation of an inguinal hernia than in females. Men perform more strenuous physical work and are susceptible to pathologies such as prostatitis and phimosis. These factors are key in the spread of a hernia in the groin.

The structure of the anatomical region in representatives of the stronger sex

The reproductive organs of the stronger sex are divided into those located inside and outside.

Organs that are located externally:

Inside the reproductive system are:

• Testes and epididymis;
• Vas deferens;
• Prostate.

Purpose of the urinary and reproductive system in males:

• The genitals, which contain receptors, are considered an erogenous zone;
• The penis performs the act of intercourse.

The paired male glands that are located inside the reproductive system are called testes.

The main task of the testicles is:

• Sperm production;
• Release of testosterone into the blood.

The testicles are oval-shaped, approximately 25 grams per testicle. The testes are located in the middle of the scrotum. The right testicle is higher than the left testicle. The testes are placed in a special shell and separated from each other by a crossbar.

The testicle is attached with the help of the spermatic cord; it consists of the following components:

• The duct through which sperm flows out;
• Nerve connections;
• Blood and lymph vessels;
• Muscles.

The testicular appendage consists of:

The peritoneal cavity surrounds the testes and creates a serous space that closes off. On the outside, the testes are covered with a tunica albuginea and under it is the testicular parenchyma. They divide the testicle into 2900 pyramidal particles.

In the middle of one of the lobules there are three tubules, which have a tortuous shape and a length of 90 mm. The seminiferous tubules are interconnected. 15 seminiferous tubules arise from here.

Duct for excreting seminal fluid

Near the prostate, the base of the vas deferens expands and a so-called ampulla is formed. It consistently narrows at the bottom and is directed into a narrow channel.

These bubbles are located in the middle of the pelvis, behind and to the side of the bottom of the bladder.

The seminal vesicles contain:

• The wide end, which is called the base;
• Body;
• The tapered end that moves into the duct to release seminal fluid.

The walls of the seminal vesicles contain many tortuous chambers containing protein fluid. It is part of the seminal fluid.

The prostate gland has the following structure:

• Right and left lobes;
• Isthmus;
• The outer side of the gland is covered with a capsule; septa extend from it into the middle of the gland;
• The gland consists of glandular and smooth muscle tissue.

There are two holes in the back wall of the bladder. The ureters enter through them. The continuation of the neck of the bladder is considered the urethra.

The bladder performs the following functions:

• Its capacity is approximately 350 ml;
• It can empty completely;
• The man has the urge to urinate and urine is released;
• With the help of the lower sphincter, a person has the ability to hold urine.

The rectum is designed to collect stool. The intestine is approximately 16 cm long. 13 cm refers to the pelvic region and 3 cm in the anus. The wall of the rectum is covered with mucous and muscular membranes.

• Discharge of feces;
• Fecal masses collect in the rectum, where they are freed from liquid and formed into compressed feces;
• Approximately 4 liters of fluid enter the intestine per day;
• Water, alcohol, glucose and some medications are absorbed in the rectum;
• Serves as a reservoir;
• Gases and feces accumulate in it.

The scrotum is a muscular organ covered with skin. In its middle are the testicles, epididymis, and the beginnings of the spermatic cord. All these organs are separated from each other by partitions inside and outside by the embryonic suture. The top of the scrotum is covered with hair, and her skin is darker than normal skin color.

The scrotum contains many sebaceous and sweat glands, which emit a specific odor. The temperature in the scrotum is 2 degrees lower , which creates optimal conditions for sperm production. If it's cold outside, the testicles are pressed closer to the body; in warm conditions, they drop back into the scrotum. The scrotum is also an erogenous zone in men. If you experience itching in the scrotum, read here.

Urine channel

The channel for the emission of urine is a thin tube that has increased elasticity. In representatives of the stronger sex, the size of the canal is about 22 cm. The urethra starts from the bladder and comes out at the head of the penis.

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What in the groin in men can cause inflammation and pain?

Unpleasant sensations in the groin area cause pathologies:

• Left and right kidney;
• Bladder;
• Ureters;
• Seminal vesicles;
• Urethra;
• testes;
• Epididymis;
• Prostate;
• Penis;
• Colon;
• Groin muscles;
• Ligaments in the groin;
• Lymph nodes in the groin area;
• Neurological endings.

Causes of groin pain in men

In the groin area, pain and discomfort can be caused by disruption of the following systems:

• Gastrointestinal system;
• Urinary system;
• Reproductive organs;
• Neurological system;
• Pathologies of muscles and bones.

Stomach and intestinal system

The digestive tract digests food that enters the stomach. Then all the nutrients necessary for the body are absorbed from it. These substances are absorbed into the blood and lymph, and all waste products enter the intestines and are processed into feces there.

Pain in the groin area can be caused by the following diseases:

• Inguinal hernia; The operation to remove it is covered in this article.
• Appendicitis;
• Symptom of irritation in the intestines;
• Constipation;
• Intestinal obstruction;
• Pathologies of the large intestine.

Urine and semen excretion system

The urinary system includes:

• Right and left kidney;
• Two ureters;
• A channel for the emission of urine.

Functions of the urinary system:

• Urine production;
• Collection of fluid in the bladder;
• Emission of urine.

Among diseases of the urinary system, pain in the groin is caused by the following pathologies:

187. Urolithiasis disease;
188. Cystitis;
189. Malignant formation of the bladder;
190. Urethritis;
191. Urethral cancer.

In males, the genital organs are created for the process of fertilization of the egg.

The genital organs that are located internally include:

Among diseases of the reproductive system, pain in the groin is caused by:

192. Prostatitis;
193. Neoplasms in the prostate;
194. Testicular torsion; The article about pain in the right testicle addressed a similar issue.
195. Balanoposthitis;
196. Venereal diseases.

Neurological diseases and pathologies of the musculoskeletal system

Unpleasant sensations in the groin area associated with ailments in the field of neurology and pathologies of muscles and bones are characteristic of the following conditions:

197. Various groin injuries;
198. Pathologies in the nerve endings of the lumbar region.

Causes of discomfort in the groin and their diagnosis

To make a correct diagnosis, the patient undergoes the following methods of examination and diagnosis of the disease:

199. Taking the patient's medical history;
200. Conducting an objective and complete examination;
201. Diagnosis using laboratory tests;
202. Application of instrumental examination methods.

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What actions should you take if you experience discomfort and pain in the groin?

In medicine, pain of an acute nature and unclear cause is always perceived by doctors as a symptom of a complex and dangerous condition. One of the options is to do an MRI of the pelvic organs.

It is also not recommended to apply a warm heating pad or compress to the sore spot. This procedure will promote the spread of inflammation throughout the body. You should also not drink water or eat. While the ambulance team arrives, the patient needs to be laid down and an ice pack placed on the sore spot.

If unpleasant symptoms appear in the groin area, you should consult with specialists in the following areas:

Therapeutic process with the help of drugs

Treatment of pathological pain in the groin area takes place in several stages:

203. Eriotropic therapy. It includes the prescription of broad-spectrum antibiotics;
204. Pathogenetic therapy. Includes the use of energy sorbents;
205. Symptomatic therapy. It is based on the prescription of drugs for pain relief and spasm relief.

Surgery

The surgical technique is based on the connection and separation of tissues during the operation. This method is used when there is no desired effect after conservative treatment.

There are several pathologies that are caused by the development of pain in the groin:

In such pathological processes, surgical treatment is one of the first indications for eliminating the pathology.

It is prohibited to use surgical intervention in the following conditions:

206. State of shock;
207. Necrosis of the heart muscle in the acute period;
208. Cerebrovascular insufficiency and acute stroke.

Treatment using physiotherapeutic techniques

In case of ligament damage, the following procedures are prescribed:

209. Put ice on the affected area in the groin area;
210. You can use an elastic bandage or a tight bandage;
211. Locally prescribe ointments or gels for pain relief, swelling and inflammation;
212. Provide peace and reduce physical activity;
213. The rehabilitation period depends on the severity of the injury.

For pain in the groin, the following manipulations are performed:

214. Food rich in vitamins and minerals;
215. Additionally, the patient is prescribed vitamins, calcium and mineral supplements;
216. massage and exercise therapy;
217. UHF;
218. Magnetotherapy;
219. Electrophoresis.

Features of groin pain in men

Nagging pain indicates a chronic inflammatory process in the body. Prostatitis occurs in almost 40% of the male population, starting after 35 years.

220. Harmful microorganisms;
221. There are various injuries in the pelvic organs;
222. Diseases of the genitourinary system, infectious pathology;
223. Hormonal imbalance;
224. Abstaining from sex for a long time;
225. Wearing tight underwear for a long time;
226. Alcoholic drinks and smoking;
227. Stress;
228. A person moves little and sits a lot;
229. Pain when urinating;
230. Minor purulent discharge appears from the urethra;
231. after urinating, a burning sensation and discomfort appear;
232. During physical activity, the ligaments in the groin are stretched.

What diseases are typical for the development of aching pain in men?

The first symptom of the development of cystitis is aching pain. Characteristics of the disease:

233. When an infection gets inside the bubble, all the symptoms of inflammation develop;
234. Cystitis can also be caused by urethritis and prostatitis;
235. Acute inflammation in the bladder.
236. Violation of the integrity of the bladder following injury;
237. Failure in the release of hormones;
238. Hypothermia;
239. Decreased functioning of the immune system;
240. Blood stagnation occurs in the pelvis.

Acute cystitis and its symptoms:

241. During the process of urination, pain and discomfort are observed;
242. The urge to urinate increases;
243. The bladder is not completely emptied;
244. Urine becomes cloudy;
245. Increase in body temperature.

In the groin on the right side, what could hurt?

The following pathologies can cause pain on the right side of the groin in men:

What can hurt the left groin in men?

Pain in the left groin is caused by the development and strangulation of a left-sided hernia:

246. There is a protrusion of the peritoneum and all internal organs under the skin in the groin area;
247. The hernia is strangulated and does not manifest itself as an intense protrusion on the left, which does not manifest itself as pain, but only discomfort;
248. the skin becomes pale;
249. In such a situation, urgent surgery is necessary;
250. Also, pain in the left groin can be caused by renal colic if the stone is located in the left ureter;
251. The patient experiences pain and discomfort along the entire length of the ureter.

Questions that men most often ask

Causes of discomfort in the groin

Aching pain in the groin and testicles is characteristic of testicular torsion and the development of epididymo-orchitis.

Factors that provoke the development of pain:

252. Traumatization of the groin of various etiologies;
253. a blood supply disorder develops in the pelvic area;
254. Pain appears in the scrotum, which radiates to the groin;
255. The scrotum becomes swollen and hyperemic.

Cause of pain in the lymph nodes in the groin of the stronger sex

Pain in the inguinal lymph nodes is caused by the following factors:

256. Development of the inflammatory process;
257. The organs of the immune system include the lymph nodes.

Function of lymph nodes for the body:

258. Protection against pathogenic microorganisms;
259. Cleanse the body of toxins;
260. an inflammatory reaction occurs;
261. Lymph nodes become enlarged and painful, and the nodes become hot when touched.

Reasons for the development of lymphadenitis:

262. Venereal diseases;
263. Fungal infections of the lower extremities;
264. Malignant formations in the pelvis;

The occurrence of pain in the groin and lower back in the stronger sex

Factors that lead to urolithiasis:

265. Heredity;
266. Frequent inflammation in the kidneys;
267. Gout;
268. Features of nutrition and drinking regime and water quality;
269. Urine becomes concentrated and a disturbance in the urination process appears.

Factors that provoke colic in the kidneys:

270. Heavy physical loads;
271. shaking and riding a horse;
272. Excessive water consumption;
273. Intravenous infusions for various diseases;
274. Pain in the lumbar region, intense;
275. Impaired urine flow;
276. Increase in blood pressure and temperature.

Renal colic requires emergency care, which is due to severe pain and the development of the inflammatory process.

Categories : Lower extremity pain