What causes testicle pain?

Testicle pain is a common symptom of injury, inflammation or infection. Injury leading to inflammation is a common cause of testicle pain. Depending on the cause, pain may occur in one or both testicles and may be accompanied by scrotal pain, blood in semen, painful ejaculation, penile discharge, or fever.

Common causes of testicle pain

Testicle pain may have common causes including:

  • Cancer of the testicle, although this is most commonly associated with a painless lump
  • Epididymitis (inflammation of the epididymis)
  • Inguinal hernia, which may be mistaken for an enlarged testicle and cause testicle pain
  • Hydrocele
  • Kidney stones
  • Mumps (viral infection that can cause inflammation of the testicle)
  • Orchitis (inflammation of the testicle)
  • Postvasectomy syndrome
  • Scrotal sac infection
  • Spermatocele (cyst in the scrotum)
  • Testicular torsion
  • Trauma or injury
  • Varicose veins in the scrotum (varicocle), which may appear as an enlarged testicle

Serious or life-threatening causes of testicle pain

In some cases, testicle pain may be a symptom of a serious or life-threatening condition that should be immediately evaluated in an emergency setting, including testicular torsion, in which blood supply to the testicle is compromised.

Questions for diagnosing the cause of testicle pain

To diagnose your condition, your doctor or licensed health care practitioner will ask you several questions related to your testicle pain including:

  • Do you have any other symptoms?
  • Do you have a lump in your testicle?
  • Do you have blood present in your semen?
  • Do you have discharge from your penis?
  • Do you have pain in one or both testicles?
  • Do you have pain with urination?
  • Do you have swelling of your testicle?
  • Have you recently injured your testicle?
  • Have you undergone vasectomy?
  • What medications are you taking?
  • When did you first notice pain in your testicle?

What are the potential complications of testicle pain?

Because testicle pain can be due to serious diseases, failure to seek treatment can result in serious complications and permanent damage. Once the underlying cause is diagnosed, it is important for you to follow the treatment plan that you and your health care professional design specifically for you to reduce the risk of potential complications including:

  • Adverse effects of treatment
  • Chronic pain or discomfort
  • Infarction of the testicular tissue
  • Infertility
  • Scrotal abscess
  • Spread of cancer
  • Spread of infection
  • Testicle removal

References:

  1. Genital problems in men. FamilyDoctor.org. http://familydoctor.org/familydoctor/en/health-tools/search-by-symptom/genital-problems-men.html.
  2. Testicle pain. MedlinePlus, a service of the National Library of Medicine National Institutes of Health. http://www.nlm.nih.gov/medlineplus/ency/article/003160.htm.
  3. Ulbright TM. The most common, clinically significant misdiagnoses in testicular tumor pathology, and how to avoid them. Adv Anat Pathol 2008; 15:18.
  4. Ferri FF. Ferri’s Differential Diagnosis, 2d ed. Philadelphia: Mosby Elsevier, 2011.
  5. Kahan S, Miller R, Smith EG (Eds.). In A Page Signs & Symptoms, 2d ed. Philadelphia: Lippincott, Williams & Williams, 2009.
INTRODUCTION

What is testicle pain?

Testicle pain is a common symptom of injury, inflammation or infection. Testicle pain can be a result of infection of the epididymis or the testicle itself. Injury leading to swelling is a common cause of testicle pain.

Depending on the cause, pain may occur in one or both testicles and may be accompanied by testicular swelling, penile discharge, blood in the semen, or fever. Test... Read more about testicle painintroduction

SYMPTOMS

What other symptoms might occur with testicle pain?

Testicle pain may accompany other symptoms, which vary depending on the underlying disease, disorder or condition. Symptoms that frequently affect the testicle may also involve other body systems.

Scrotum symptoms that may occur along with testicle pain

Testicle pain may accompany scrotum symptoms including:

Medical Reviewer: William C. Lloyd III, MD, FACS Last Annual Review Date: Sep 20, 2013 Copyright: © Copyright 2014 Health Grades, Inc. All rights reserved. May not be reproduced or reprinted without permission from Health Grades, Inc. Use of this information is governed by the HealthGrades User Agreement.

This Article is Filed Under: Male Reproductive System