Testicular Disorders (cont.)

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How are the causes of testicular pain diagnosed?

In order to diagnose the underlying condition causing testicular pain, a complete history and physical exam will be performed by a health care professional. Laboratory testing and imaging studies may also be ordered depending on the health care professional's initial impression and evaluation.

Laboratory testing may include:

  • blood work
  • urinalysis
  • a swab of the urethra (if the patient has penile discharge suggestive of a sexually transmitted disease)

Imaging studies may be ordered by your health care professional to further delineate the underlying cause of the testicular pain, and these may include the following.

Imaging tests may include

Ultrasonography

A color Doppler-testicular ultrasound is a non-invasive imaging study that can evaluate the blood flow to the testicles, as well as the presence of testicular tumors, fluid collections, testicular rupture, and hernias. A kidney ultrasound can be helpful in the evaluation of kidney stones.

Radionuclide imaging

This is an imaging study requiring the intravenous administration of a radionuclide, useful for the evaluation of testicular torsion, as well as other causes of testicular pain. It is used less commonly than ultrasound.

CT scan or a kidney/ureter/bladder (KUB) X-ray

These particular imaging studies are sometimes ordered if there is a suspicion that the testicular pain is being caused by kidney stones.

For certain cases of testicular pain, such as those that are strongly suggestive of testicular torsion, immediate urologic consultation prior to testing should be obtained in order to prevent potential delays in definitive surgical management.

Medically Reviewed by a Doctor on 7/15/2014

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