Medical Treatment

The medical treatment for testicular pain depends on the cause of the pain:

• Testicular torsion: This condition requires immediate surgery by a urologist (specialist in genital and urinary organs). Prior to surgery, a doctor may attempt to untwist the testicle to relieve the problem temporarily.
  
  
• Epididymitis: In addition to pain medicine, the doctor will give the patient antibiotics for 7-10 days.
  
  
  • The particular antibiotic used will depend on the age and sexual history of the patient.
    
    
  • Rarely, the patient may need to be admitted to the hospital.
    
    
• Torsion of a testicular appendage: Doctors may offer no specific treatment for this problem other than pain medicine and ice. The pain should go away within about one week.
  
  
• Inguinal hernia: Hernias usually require surgery. If the patient has severe pain that cannot be relieved, doctors may do surgery immediately.
  
  
• Tumor: If the patient has testicular cancer, he will be referred to a specialist for further treatment.
  
  
• Rupture or hematocele/pyocele: A urologist will assess this problem and may perform immediate surgery.
  
  
• Kidney stone: The patient will be given pain medicine, and an imaging study may be ordered to determine the location and size of the kidney stone.
  
  
• Orchitis: Depending on the cause, treatment may include pain medicine, ice, or antibiotics. Rarely, orchitis may require surgical drainage from a complication.