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Testicular or scrotal pain can sometimes signal a serious condition, including testicular torsion, so it’s important not to ignore it. The experienced urologists at Urology Associates specialize in diagnosing and treating conditions affecting the male reproductive system. With expertise in medical urology, advanced diagnostics, and urologic surgery, our team works quickly to identify the cause of your pain and provide effective treatment.
Testicular or scrotal pain refers to discomfort that occurs in or around the testicles, which are located within the scrotum. In most cases, the terms testicular pain and scrotal pain are used interchangeably because both involve pain in the scrotal area.
Men experiencing testicular pain may also notice additional symptoms such as:
A scrotum that feels unusually warm
Redness or irritation of the scrotal skin
Blood in the urine (hematuria)
Penile discharge
Testicular pain and these accompanying symptoms may indicate a serious underlying issue, including conditions like testicular torsion. If you experience these signs, it’s important to contact your Urology Associates provider promptly for evaluation.
There are several possible causes of testicular or scrotal pain, including:
Epididymitis: Inflammation of the epididymis, the structure located behind the testicle
Inguinal hernia: A portion of the intestine protruding into the groin area
Testicular torsion: Twisting of the testicle that restricts blood flow
Orchitis: Inflammation affecting one or both testicles
Prostatitis: Inflammation of the prostate gland
Severe urinary tract infection (UTI)
Kidney stones: Pain may radiate downward toward the testicles
Hydrocele: Fluid accumulation around the testicle
Spermatocele: A fluid-filled cyst that forms near the testicle
Varicocele: Enlarged veins within the scrotum
Sexually transmitted infections (STIs): Including chlamydia, gonorrhea, or syphilis
External injuries can also lead to testicular pain. Blunt trauma from a fall, sports injury, or accident may cause bruising and significant discomfort. In rare cases, severe trauma can result in testicular rupture, where the protective tissue surrounding the testicle (the tunica albuginea) tears.
Diagnosing testicular pain typically begins with a physical examination and a review of your medical history. Your urologist may recommend several tests to help determine the underlying cause.
Common diagnostic tests include urinalysis and blood work to check for infection or other abnormalities. If penile discharge is present—often a sign of a sexually transmitted infection—a urethral swab may also be performed.
Imaging studies may be used to provide additional information and can include:
Ultrasound
Computed tomography (CT) scan
X-ray of the urinary tract
Radionuclide imaging
These tests help your provider accurately identify the source of the pain and guide treatment.
Treatment depends on the underlying cause of your symptoms. Options may range from medications such as antibiotics to surgical procedures that repair damaged tissue within the testicle or scrotum.
Most causes of testicular pain are treatable, especially when evaluated early. Prompt medical care is important for protecting long-term reproductive and urinary health.
At Urology Associates, we provide evaluation and treatment for testicular and scrotal pain in a comfortable, supportive environment. To schedule an appointment with an experienced urologist, contact your preferred Urology Associates of Mobile location.
If you have further questions or are experiencing symptoms of a urologic condition, call us or schedule an appointment today.
843-884-8045