Testicular pain can have a number of different causes, some of which constitute a medical emergency. Trauma is a common cause of testicular pain when the scrotum is injured, most commonly as a result of blunt trauma. Testicular torsion is a condition in which the testicle twists inside the scrotum, causing an interruption in the blood supply to the testicle. Testicular torsion is an emergency, since interruption of the blood supply can lead to tissue death of the affected testicle. Inflammation of the testicle or epididymis can also lead to testicular pain. Sometimes, pain from other conditions, such as kidney stones, may be perceived in the scrotum.
Other causes of testicular pain
- Epididymitis
- Fournier's Gangrene
- Hematocele
- Orchitis
- Rupture of the Testicle
- Spermatocele
- Testicular Torsion
- Torsion of a Testicular Appendage
- Trauma or Injury
- Tumors of the Testicle
- Varicocele

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Causes of Testicular Pain
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Burns (First Aid)
Burn types are based on their severity: first-degree burns, second-degree burns, and third-degree burns. First-degree burns are similar to a painful sunburn. The damage is more severe with second-degree burns, leading to blistering and more intense pain. The skin turns white and loses sensation with third-degree burns. Burn treatment depends upon the burn location, total burn area, and intensity of the burn.
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Hernia (Abdominal Hernia, Types, and Surgery)
A hernia occurs when an organ or piece of tissue protrudes from the space in which it is normally contained. Symptoms of a hernia include pain, nausea, vomiting, bowel obstruction, and fever. Hernias are diagnosed by a physical exam and imaging tests. Some hernias may be held in place with a supportive belt. Other hernias require surgical repair. The prognosis of people who undergo elective hernia repair tends to be good.
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How Do Guys Get Epididymitis?
Epididymitis (inflammation of the testicular tube) is common in young men between the ages of 19 and 35 years old. Men often get epididymitis for various reasons that include sexually transmitted infections, other infections, blockage in the urethra, side effects from medications and trauma.
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Hydrocele
Hydrocele is a collection of clear fluid in a thin-walled sack that also contains the testicle. Hydroceles are more common in males than females. There are two types of hydroceles: 1) communicating and 2) non-communicating. Hydroceles present at birth may resolve on their own. Hydroceles that appear in the teen or adult years may require surgery.
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Kidney Stones (nephrolithiasis)
Kidney stones are solid masses of crystalline material that form in the kidneys. Symptoms of kidney stones can include pain, nausea, vomiting, and even fever and chills. Kidney stones are diagnosed via CT scans and specialized X-rays. Treatment of kidney stones involves drinking lots of fluids and taking over-the-counter pain medications to medical intervention including prescription medications, lithotripsy, and sometimes even surgery.
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Mumps
Mumps is an acute viral illness caused by the mumps virus. Symptoms and signs of mumps include fever, headache, muscle aches, tiredness, and loss of appetite, followed by swelling of the salivary glands.
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Polyarteritis Nodosa
Polyarteritis nodosa is a rare autoimmune disease characterized by spontaneous inflammation of the arteries of the body. The most common areas of involvement include the muscles, joints, intestines (bowels), nerves, kidneys, and skin. Poor function or pain in any of these organs can be a symptom. Polyarteritis nodosa is most common in middle age persons. Polyarteritis is a serious illness that can be fatal. Treatment is focused on decreasing the inflammation of the arteries by suppressing the immune system.
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STDs in Men
Sexually transmitted diseases (STDs) are infections transmitted during sexual contact. They may be caused by viruses, bacteria, or parasites. STDs in men cause no symptoms or symptoms like genital burning, itching, sores, rashes, or discharge. Common infections that are sexually transmitted in men include gonorrhea, chlamydia, syphilis, hepatitis C and B, genital warts, human papillomavirus (HPV), and genital herpes. Some STDs in men are treatable while others are not. STDs are diagnosed with tests that identify proteins or genetic material of the organisms causing the infection. The prognosis of an STD depends on whether the infection is treatable or not. Use of latex condoms can help reduce the risk of contracting an STD but it does not eliminate the risk entirely.
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Testicular Cancer
Testicular cancer symptoms include a painless lump or swelling in a testicle, testicle or scrotum pain, a dull ache in the abdomen, back, or groin, and a feeling of heaviness in the scrotum. Treatment for cancer of the testicles depends on the type of cancer (seminoma or nonseminoma), the stage of the cancer, and the patient's age and health.
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Urinary Tract Infection (UTI)
A urinary tract infection (UTI) is an infection of the bladder, kidneys, ureters, or urethra. E. coli, a type of bacteria that lives in the bowel and near the anus, causes most UTIs. UTI symptoms include pain, abdominal pain, mild fever, urinary urgency and frequency. Treatment involves a course of antibiotics.
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What Could Be Causing My Testicular Pain?
Testicular pain affects thousands of men every year. Learn the signs of testicular pain, different warning signs to look for, how doctors diagnose it, and how it is treated.
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What Is Usually the First Symptom of Testicular Cancer?
The first signs and symptoms of testicular cancer are a painless lump in the testicular area, unusual firmness in the affected testis or dull aching in the scrotum or the groin.
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