What Causes Testicular Pain?

Jun 09, 2022 Source: Cainiu Health
Dr. Luo Yong
Introduction
Testicular torsion: This condition commonly occurs in children. Patients typically experience severe pain, redness, and tenderness on one side of the scrotum; severe cases may also be accompanied by nausea and vomiting. Scrotal edema: Fluid accumulation occurs around the testicle and its surrounding tissues. If fluid homeostasis is disrupted, edema and fluid retention may develop, leading to testicular pain in males.

Among males, a common symptom is testicular pain. Causes of testicular pain include testicular torsion, scrotal edema, and varicocele.

① Testicular Torsion

Testicular torsion occurs when the testicle rotates abnormally due to external force, potentially causing pain. It most commonly affects children. Patients typically experience sudden, severe unilateral pain, swelling, and tenderness of the scrotum. In severe cases, nausea and vomiting may also occur. Surgical intervention is usually required.

② Scrotal Edema

Accumulation of fluid around the testicle and surrounding tissues—when fluid volume becomes imbalanced—can lead to scrotal edema and associated testicular pain. If such symptoms are observed, prompt medical evaluation is essential to identify the underlying cause; surgical treatment may be necessary in some cases.

③ Varicocele

Varicocele—dilation and tortuosity of the veins within the spermatic cord—may cause testicular pain, along with scrotal enlargement and localized discomfort. Symptoms often worsen after prolonged sitting.