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Writer's pictureDr Shailendra Goel

Causes of Testicle Pain


Testicular pain has multiple causes such as orchitis, epididymitis, or testicular torsion. Today I’m going to talk to you about possible causes of testicular pain in adults.


How is the pain of testicles?


If you are a man, probably on more than one occasion you have felt pain in the testicles. Most of the time, testicular pain goes away, and we forget about it if it doesn’t come back. At other times, it is intermittent or persistent testicle pain and that is when we begin to wonder what is happening and we decide to go to the consultation of a urologist in Noida.


Causes of testicle pain


It is not always easy to know why the testicles hurt. For a better understanding of the origin of testicular pain we can refer to the exact place where the discomfort occurs:

  • Testicular pain originating from the testicle itself.

  • Testicular pain originating outside the testicle.


Causes of testicular pain originating from the testicle

Next, we will address the following causes of testicle pain, originating within it.

  • Inflammation in the testicles.

  • Trauma to the testicles.

  • Testicular torsion.

  • Testicular tumors.

  • Testicular cysts, varicocele and hydroceles.


Swelling in the testicles

Processes like orchitis and orchiepididymitis can be causes of testicular inflammation. They are, in general, quite painful processes, with an abrupt onset and usually unilateral, that is, it can be pain in the left testicle or pain in the right testicle.


Causes of testicular pain in youth

In young people, it is not surprising that the reason for testicular pain is due to a sexually transmitted disease (STD), such as Chlamydial urethritis, says sexologist in Noida.


Causes of testicular pain in adults

Conversely, the cause of testicular pain in adults is usually a urinary tract infection originating in the prostate.


Granulomatous orchiepididymitis, such as brucelotic and tuberculous, is recognized because it is usually painless. In contrast, those produced by the mumps virus are extremely painful and often require anesthesia of the spermatic cord to relieve testicular pain.


Trauma to the testicles

Bumps on the testicles can cause pain. It should be remembered that sometimes a small blow triggers disproportionate pain. This can occur in patients who have testicular tumors that had previously gone unnoticed.


Testicular torsion

The torsion testis is an intensely painful process that begins suddenly and rapidly evolving. The testicle becomes inflamed in a few hours and is very painful under pressure. If you do not intervene soon, you can interrupt the vascular flow and even lose the testicle, warns the urologist in Greater Noida.


Testicular tumors

The testicular tumors tend to debut as slightly more painful palpable lump.


Cysts in the testicle, varicocele and hydrocele

The cysts testicle, varicoceles and sometimes hydroceles are other reasons that can cause pain in the testicles promptly but generally are less intense and more like heavy feeling that pain itself.


Causes of testicular pain originating outside the testicle

The most striking feature is that during manipulation and exploration of the testicle pain is not triggered. Below you can find out some of the causes of testicular pain due to extra testicular processes:

  • Pain in the testicles originating in the prostate.

  • Testicular pain derived from inguinal hernias.

  • Testicles with pain originating in the lumbar spine.

  • Testicular pain due to nephritic colic.


Pain in the testicles originating in the prostate

In general, when testicular pain originates in the prostate, it usually presents certain peculiarities:

  • On examination, the testicle is not painful and is normal in size.

  • Alternation on the side: Sometimes you can feel your left testicle hurt, then your right testicle hurts, alternating even with times when you can have pain in both testicles simultaneously.

  • It is frequently accompanied by urinary symptoms, such as increased urinary frequency and urethral burning.

  • Ejaculation discomfort may also occur, says the sexologist in Ghaziabad.


Testicular pain derived from inguinal hernias

As in all pains of extratesticular origin, palpation of the testicle does not increase the pain. In these cases, the pain is triggered by increasing abdominal pressure that can occur with actions such as sneezing, coughing, or straining when defecating. Often, they are easy to detect, as the hernia is easily palpable. However, sometimes, we must perform an ultrasound of the inguinal area to verify it, says the urologist in Ghaziabad.


Testicles with pain originating in the spine

As in the previous extra-testes, the testicle is neither inflamed nor painful on palpation. Frequently, the patient has a history of low back pain or physical effort in the previous days even without clear low back pain. Pain is generated in the testicles with certain postures. For example, it is very typical to feel testicular pain when sitting while driving and it is alleviated with bed rest.


Nephritic colic testicle pain

It is very common that when the urinary stone descends through the ureter, pain occurs in the testicle. Furthermore, in these cases, pain in the testicle is the least marked symptom. The intense pain in the kidney area, nausea and vomiting, profuse sweating and colic are very striking.


When to go to the best urologist in Noida for testicle pain?


If you have a fever, there is a lump in the scrotum or you notice that it is red, hot and tender to the touch, it is important that you visit a urologist in Noida to investigate the causes of your testicle pain.


Urgency of testicular pain


In general, testicular pain does not imply that you should urgently go to the specialist, but you should do it if it is intense and appears suddenly and is also accompanied by nausea and vomiting.


If you feel pain in the testicles and you are concerned about its cause, it is best to visit a urologist in Delhi for a urological review. Testicular cancer should not be considered in the face of these symptoms, or at least it should not be our first thought, since malignant testicular tumors are usually not painful. However, don’t miss it. Any pathology that may arise is best treated as soon as possible.

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