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:

Imaging studies may be ordered by your health-care professional to further delineate the underlying cause of the testicular pain. In certain patients with testicular pain whose symptoms 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.

Imaging tests


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 or other conditions in the abdomen or pelvis.

Medically Reviewed by a Doctor on 10/7/2015

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