Testicle Pain

Tenderness behind or near your testicles could signal inflammation or infection. Learn more.

What are the symptoms of Testicle Pain?

You may experience:

  • Burning with urination
  • Pain or discomfort
  • Redness of the skin around the area
  • Tenderness
  • Swollen testicles or scrotum
  • Urgent need to urinate frequently

If the pain is severe, and if you also feel nauseous or have fever or chills, and the testicle looks abnormal, you should go to the emergency room immediately.

What causes Testicle Pain?

There are various possible causes, including:

  • Enlarged prostate
  • Inflammation
  • Sexually transmitted diseases
  • Trauma
  • Urethral scar tissue
  • Urinary tract infection

How is Testicle Pain diagnosed?

What to know before your visit to Michigan Institute of Urology in Southeast Michigan:

During your visit, your doctor will ask about your medical history, surgical history, sexual history, medications, and will examine the groin area.

These tests may be needed:

  • Urinalysis to look for blood or infection in your urine
  • Urine culture
  • Post-void residual: You’ll be asked to urinate, then the physician will check to make sure you are emptying your bladder.
  • Scrotal ultrasound: This imaging test looks closely at your testicles for abnormalities.
  • Light: A bright light is placed behind the testicles to see if light passes through. Light will pass through inflammation but not through a solid mass.

How is Testicle Pain treated?

How is Testicle Pain treated?

  • Anti-inflammatories like Ibuprofen and/or other medications will reduce swelling. For mild cases, this may be all that is needed.
  • More support: Wearing more supportive underwear may decrease the swelling.
  • Antibiotics: If a urinary tract infection or sexually transmitted disease is suspected, antibiotics may be needed.

If you have a fever or your symptoms are getting worse, hospitalization and IV antibiotics may be needed. Swelling can take up to six weeks to resolve.

Although it is rare, in the most severe cases (could include large abscesses), surgical exploration and drainage may be necessary.

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