What Causes Pain in One Testicle?

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Supervised by Kenji Taylor, MD

Pain in one testicle can be caused by several things, such as infections, injury, twisting of the testicle (torsion), or other causes.

Explanation

There are many reasons one testicle might hurt. One common cause is an infection in the testicle or the nearby tube, like the epididymis. This is when germs make parts of the testicle red and swollen. Another possibility is a twist in the testicle, called torsion, which cuts off the blood flow and can cause serious pain. Sometimes, an injury to the testicle can cause pain or swelling. Other causes include hernias or nerve pain. Sometimes, the exact cause of testicular pain can be difficult to identify. Because of all these possibilities, evaluation by a doctor can help identify appropriate testing and management for testicular pain.

(References)

Polackwich AS, Arora HC, Li J, Levine L, Tojuola B, Parekattil S, Shoskes DA. Development of a clinically relevant symptom index to assess patients with chronic orchialgia/chronic scrotal content pain. Transl Androl Urol. 2018 May;7(Suppl 2):S163-S168
Calixte N, Brahmbhatt J, Parekattil S. Chronic Testicular and Groin Pain: Pathway to Relief. Curr Urol Rep. 2017 Sep 02;18(10):83.
Payne B, Brzezinski WA, Clark AV, Estrada CA, Kraemer RR. Lessons Learned from a Middle-Aged Man with Testicular Pain: Exercises in Clinical Reasoning. J Gen Intern Med. 2017 Mar;32(3):355-359. doi: 10.1007/s11606-016-3882-0. Epub 2016 Oct 24. PMID: 27778213; PMCID: PMC5330999.

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