Testicular pain

Testicular or scrotal pain occurs when part or all of either one or both testicles hurt. Pain in the scrotum is also often included. Testicular pain may be either acute, subacute or chronic depending on its duration. Causes rank from benign muscular skeletal problems to emergency conditions such as Fournier's gangrene and testicular torsion. Pain management is typically given with definitive management depending on the underlying cause. The diagnostic approach involves making sure no serious conditions are present and may involve the use of ultrasound imaging and laboratory evaluations.

Definition

Testicular pain is when part or all of either one or both testicles hurt. Pain of the scrotum is often included. It may be either acute, subacute or chronic depending on its duration.

Chronic scrotal pain

Chronic scrotal pain (pain for greater than 3 months) may occur due to a number of underlying conditions. It occurs in 15-19% of people post vasectomy, due to infections such as epididymitis, prostatitis, and orchitis, as well as varicocele, hydrocele, spermatocele, polyarteritis nodosa, testicular torsion, previous surgery and trauma. In 25% of cases the cause is never determined. The pain can persist for a long and indefinite period of time following the vasectomy, in which case it is termed post-vasectomy pain syndrome (PVPS).