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February 8, 2012
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Testicular Pain

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Testicular Pain Overview

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

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Testicular Pain

Testicular Cancer Overview

Testicular cancer is an abnormal growth of cells in the testicles. The testicles are the male reproductive organs (gonads) where sperm are produced.

  • The two small testicular glands lie in a pouch of skin behind the penis called the scrotal sac, or scrotum.


  • They are attached to the ejaculatory duct in the lower pelvis by cords called spermatic cords, which contain the vas deferens, the narrow tube through which the sperm moves out of the testis.


  • Besides producing and storing sperm, the testicles (or testes) are the main source of male hormones such as testosterone, which control reproduction and sex drive (libido) and impart male physical traits such as deep voice and body and facial hair.


  • Cancer usually occurs in only one testicle. Less than 5% of the time, it occurs in both testicles. (Usually, the two tumors are found at different times, t...

Read the Testicular Cancer article »


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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