Testicular Pain: Causes, Emergency Signs & Treatment

What Is Testicular Pain?

Testicular pain can range from mild discomfort to severe, sharp pain. It can originate in the testicle itself or be referred from the abdomen or groin. While many causes are minor, sudden severe testicular pain is a medical emergency that may indicate testicular torsion, which requires immediate surgery.

Common Causes of Testicular Pain

• Injury or trauma
• Epididymitis (infection)
• Testicular torsion (twisting)
• Inguinal hernia
• Varicocele (enlarged veins)
• Kidney stones (referred pain)

When to See a Doctor

See a doctor for any persistent testicular pain. Seek EMERGENCY care for sudden, severe testicular pain, especially with swelling, nausea, or if one testicle appears higher than the other.

Warning Signs That Need Immediate Attention

Frequently Asked Questions

When is testicular pain an emergency?

Sudden, severe testicular pain is an emergency. Testicular torsion (the spermatic cord twists, cutting blood supply) requires surgery within 6 hours to save the testicle. If in doubt, go to the ER immediately.

What causes testicular pain without injury?

Common causes include epididymitis (infection), varicocele (enlarged veins), inguinal hernia, kidney stones (referred pain), and prostatitis. A urologist can determine the cause with examination and ultrasound.

Should I check for testicular cancer?

Yes, monthly self-exams are recommended, especially for men ages 15-35 (peak risk). Feel for painless lumps, swelling, or changes in size. Testicular cancer is highly curable when caught early.

Can tight clothing cause testicular pain?

Tight clothing can cause temporary discomfort but doesn't cause medical conditions. However, excessively tight underwear may contribute to heat buildup. Supportive but not overly tight underwear is recommended.

How much does a testicular evaluation cost?

A urologist visit costs $200-$500. Testicular ultrasound costs $200-$500. Blood tests (tumor markers) cost $50-$200. OpenMyPro helps you find affordable urology care.

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