Testicular Pain

Access exceptional care for testicular pain at Montefiore Einstein Urology at the Children’s Hospital at Montefiore Einstein (CHAM). As a leader in Urology, we are an academic-based referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions. 

Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of specialists is passionate about uncovering diagnostic approaches and treatments that can improve outcomes.  

At Montefiore Einstein Urology, you can expect compassionate research-based treatment plans that meet the highest standards for quality and safety. We are committed to ensuring your child will receive the best patient- and family-centered care in a supportive and nurturing environment.  

When you want only the best for your child, turn to our dedicated providers who will develop a highly personalized treatment plan.

Testicular pain can have various causes, including: 

• Epididymitis: Inflammation of the epididymis, often due to infection. 
• Inguinal hernia: A bulge in the groin area that can cause pain. 
• Injury: Trauma to the testicle or surrounding area. 
• Kidney stones: Pain radiating from the kidneys to the groin. 
• Orchitis: Infection of the testicles caused by bacteria or viruses. 
• Testicular torsion: Twisting of the spermatic cord, cutting off blood flow. 
• Varicoceles: Enlarged veins in the scrotum that can cause discomfort.

Symptoms of testicular pain can vary depending on the underlying cause. Common symptoms include a dull ache or throbbing in the scrotum or testicles, sharp acute pain, tenderness, and swelling. Additional signs may include fever and nausea, which can indicate a more serious condition. If the pain is severe or accompanied by fever or nausea, it is critical to seek urgent medical attention.

Diagnosing testicular pain involves identifying its underlying cause. Physicians typically begin with a comprehensive physical examination and a detailed review of the patient’s medical history to assess symptoms. Diagnostic tests may include blood tests and urinalysis to detect infections or other abnormalities, ultrasound imaging to evaluate blood flow and identify structural issues, and X-rays to rule out related conditions.

Treatment for testicular pain depends on the severity and underlying cause: 

• Mild cases may be managed with cold compresses and over-the-counter pain relievers. 
• Antibiotics may be prescribed for infections such as epididymitis or orchitis. 
• Severe cases, such as testicular torsion, require emergency surgical intervention to restore blood flow and prevent permanent damage.