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Medical Author:

Steven Doerr, MD

Steven Doerr, MD

Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Testicular Pain Prognosis

The prognosis for individuals with testicular pain is dependant entirely upon the underlying cause leading to the symptoms.

For individuals with testicular trauma, the prognosis depends on the severity and extent of the initial injury. Though most patients with testicular trauma will recover without long-term sequelae, others may experience loss of the testicle or permanent damage to the testicle.

If an individual has testicular torsion, the prognosis and recovery depends on the time elapsed between the time of symptom onset and the time to successful manual detorsion or surgical intervention. The chance of salvaging the testicle decreases as more time passes.

• If detorsion occurs within 6 hours from the time of symptom onset, the rate of salvaging the testicle is between 90% and 100%.
  
  
• After 12 hours, the salvage rate is between 20% and 50%.
  
  
• After 24 hours, the salvage rate is between 0% and 10%.

Complications associated with testicular torsion include loss of the testicle, permanent damage to the testicle, infertility, and infection.

Individuals with epididymitis and bacterial orchitis will generally recover without complications if treated with antibiotics in a timely manner. Potential complications include abscess formation, impaired fertility, and rarely, a systemic blood infection (sepsis).

For individuals with torsion of a testicular appendage, the prognosis is excellent.

If an individual is diagnosed with a testicular tumor, the prognosis depends upon the type of tumor and the extent of the disease at the time of diagnosis.