Testicular Pain or Pain In Testis

Most of the times there is no identifiable reason for the onset of pain. When a urologist examines the patient, he will find that there is a pain in the upper portion of the testis. If further confirmation is needed, then an ultrasound of the testis can be done which confirms it. There are no other investigations that will help in making the diagnosis. The cause is usually a bacterial infection which is localized to the testis or epididymis.

The treatment is by a course of antibiotics and pain killers. Most of the time, this will solve the problem even though in some people there could be recurrence after a few weeks or months.

Other causes for pain in the testis are less common. They include torsion testis in which there is severe sudden pain in the testis. It commonly occurs in children and adolescents. This is a surgical emergency that needs urgent diagnosis and treatment. Fortunately, this is far less common than epididymo-orchitis.

Varicocele is another condition which causes pain in the testicles-more commonly on the left side. The cause is dilation of the veins of the testis giving rise to a dragging or dull aching type of pain. This can be confirmed by physical examination and ultrasound scanning of the testis. The treatment is usually by scrotal support and medications. Rarely it may need surgery.

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