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Testicular Pain

Testicular Pain Quick Overview

  • Testicular pain is a discomfort felt in the testicles or scrotum.
  • Causes of testicular pain may be very serious and require prompt medical evaluation, such as testicular torsion, which is a surgical emergency.
  • Symptoms of testicular pain may include
    • testicle tenderness,
    • swelling, and
    • redness.
  • Some individuals may experience
  • Causes of testicular pain are diagnosed using imaging studies, urinalysis, and a detailed physical exam.
  • The treatment of testicular pain depends on the underlying cause, and may include pain medication, antibiotics or surgery.
  • Certain causes of testicular pain can be prevented. A testicular self-exam may help detect testicular cancer at an earlier stage.
  • The prognosis for testicular pain depends entirely on the underlying cause. Certain causes of testicular pain carry an excellent prognosis, while others may lead to infertility, or even death.

What are the testicles?

Anatomy and Development of the Testicles

Men become very concerned and anxious when they feel pain in their testicles. To better understand the various causes of this symptom, an understanding of basic anatomy and the development of the testicles is necessary.

  • Before birth, the testicles are located in the abdomen (belly). Eventually, the testicles migrate down through the abdomen into the scrotum (the outside pouch that contains the testicles). However, they remain connected to the abdomen by the spermatic cord, which contains vital blood vessels, nerves, lymphatic vessels, and the vas deferens. The spermatic cord also functions to suspend the testicles within the scrotum.
  • On the upper, outer, back position of the testicle lies a connected but separate structure called the epididymis, which serves to store and transport sperm. Normally, the epididymis has a direct connection to the wall of the scrotum.

Picture of the Male Urinary and Reproductive Structures
Picture of the Male Urinary and Reproductive Structures
Medically Reviewed by a Doctor on 12/8/2015

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Inflammation of the Testicle (Orchitis)

Orchitis Symptoms

The symptoms associated with orchitis may range from mild to severe, and the inflammation may involve one or both testicles. Patients may experience the rapid onset of pain and swelling, or the symptoms may appear more gradually. Symptoms of orchitis may include the following:

  • Testicular swelling
  • Testicular redness
  • Testicular pain and tenderness

Read What Your Physician is Reading on Medscape

Testicular Trauma »

Despite the vulnerable position of the testicles, testicular trauma is relatively uncommon.

Read More on Medscape Reference »

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