Causes of Testicular and Scrotal Pain in Men
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Causes and Symptoms of Testicular Pain: What You Need to Know
Pain in the testicles usually occurs due to injury or disease of one or both testes. The pain sensation may range from a dull ache to sharp, persistent pain. Many men experience occasional pain in the testis that is mild and goes away on its own.
When the pain is more severe or persists, many men seek help.
Testicles are very delicate organs and have an important role in producing testosterone as well as in sperm production. The testis has a good nerve supply, and even mild trauma or disease can cause immense pain and discomfort.
The most important cause of testicular pain is trauma. It can be of any form. For example, when something strikes the testicles, or it can be due to involuntary compression during sleep or excessive physical activity. In cases of mild trauma, there is a feeling of dull ache and heaviness in the scrotal sac. But in severe cases, the pain can be excruciating. Blunt injury to the testis can lead to testicular rupture, hematoma, and a need for emergency surgery to repair the testis.
Another important cause is the torsion of the testis. Normal testicles are suspended from the body and cannot rotate. In torsion of the testis, there is usually an abnormal rotation of the testicle. The pain is usually excruciating and is felt in the scrotal sac. It is a medical emergency and has to be addressed in a hospital’s emergency department to prevent permanent damage to the testicles. This condition is more common between the ages of 10 – 25 years but can occur at any age. Nausea and vomiting may accompany the pain.
Testicular discomfort can also occur when the testis is pulled up in the scrotum or high up into the groin by cremasteric muscles that wrap around the spermatic cord. This condition is called “retractile testis”.
Most Common Causes of Testicular Pain include:
- Trauma (Can be obvious or subtle such as from pressure)
- Testicular torsion
- Spermatocele
- Retractile testis
- Orchitis & epididymitis which is basically the inflammation of the testicles due to infection or any other condition. STDs such as gonorrhea and chlamydia are common causes of orchitis in men.
- Hydrocele, which is the accumulation of fluid inside the scrotal sac
- Varicoceles are tortuous enlarged veins of the testicles.
- Hematoma, which is an accumulation of blood in the scrotal sac, usually a result of trauma.
- Inguinal hernia, which is the protrusion of abdominal contents, mainly the intestines, into the scrotal sac
- Referred pain from kidney stones, pelvic pain
- Post-vasectomy pain syndrome
- Gangrene is basically the death of testicular tissue as a result of untreated torsion or trauma.
- Diabetic neuropathy affecting the nerve supply of the testicles.
Testicular cancer can occasionally cause pain. They usually present as painless lumps that are best assessed by the consulting physician.
Referred pain from kidneys or kidney stones may occur due to the common nerve supply of scrotal structures and abdominal organs.
Testicular trauma can cause severe testicular pain. Testicular trauma may be blunt or penetrating. The common modes of blunt injury include sports injuries during cycling, contact sports, and straddle injuries. The pain can be minimal or excruciating. Significant pain is often an indication of serious injury.
Orchitis is an inflammation of the testes; epididymo-orchitis refers to inflammation of the testis and epididymis. Acute inflammation can be extremely painful as it causes stretching of tunica albuginea. Orchitis may be caused by viral or bacterial infections. Sexually transmitted diseases such as gonorrhea and chlamydia infection can cause testicular pain. Other symptoms may include blood in the ejaculate and urine and enlarged groin nodes that are also painful. Chronic inflammation of epididymis may be caused by a low-grade bacterial infection (chlamydia), tuberculosis, filariasis, drug-induced by amiodarone, obstruction after vasectomy, and Behcet’s disease.
Testicular torsion is a urological emergency caused by torsion of the spermatic cord. This results in loss of blood supply to the testis. The severity of testicular ischemia depends on the degree of torsion and causes ischemic orchitis, which is responsible for severe pain. It is most often seen in children and but may also occur in young adults and older men. This is an emergency situation and requires immediate management to prevent permanent ischemic damage to the affected testis. Intermittent testicular torsion is known to occur. It produces less severe pain, which disappears after a short time when the testis untwists spontaneously. Intermittent testicular torsion may be an early precursor to testicular torsion.
Torsion of testicular appendage resembles the pain of testicular torsion.
Varicocele is the dilatation of veins that carry blood from the testes. It appears like a bag of worms just above the testes. It may result in discomfort, mild pain, or a sensation of heaviness in the affected side of the testis.
A hydrocele is an accumulation of fluid around the testes between two layers called tunica vaginalis. It occurs due to inflammation, tumors, trauma, or its cause may be unknown. The secondary hydrocele may subside spontaneously once the inflammation subsides. If there is an accumulation of blood, it takes longer to resolve.
Spermatocele is a cyst originating from the epididymis, which is filled with sperms. Larger spermatoceles may cause discomfort though usually there is no pain.
Pain syndromes such as testicular pain syndrome, epididymal pain syndrome, and post-vasectomy pain syndrome present with.
Testicular Anatomy and Innervation
Testes are a pair of male reproductive organs located in the scrotum. Each testis is 4 to 5 cm long and about 3 cm wide and deep. The epididymis is a long worm-like structure located just behind each testis. Sperm cells are produced in the testes and are stored in the epididymis, where they also undergo maturation. During ejaculation, the sperm cells, along with the secretion of seminal vesicles, are ejected through the urethra. Testes also produce a hormone called testosterone.
Each testis is supplied with blood through the testicular artery and drains through the plexus of veins.
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Where to Get Treatment for Pain in the Testis in NYC?
At New York Urology Specialists, we offer treatment for testicular pain. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-212-204-6300 or make an appointment online.
We perform testicular implants, scrotal surgery, penile procedures, varicocele and hydrocele repair, and cosmetic circumcision. We offer treatment for phimosis, balanitis, missing testis, low testosterone, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
We perform cystoscopy, penile and testicular ultrasound in our office. We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office. We treat urinary and erection problems. We offer confidential appointments.
Cost of Testicular Pain Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more. The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for Testicular Pain Treatment?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
- We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office. Office procedures avoid the risks, costs, and recovery from general anesthesia.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Testicular Problems Look Like?
You can find pictures of circumcision as well as before and after treatment images in our image gallery.
Scheduling Appointments for Testicular Pain Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.
Treatment for Men With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including sexual problems and urinary problems in men. We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.
Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis. We offer medical and surgical treatment for men’s sexual problems.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Enlarged prostate
- Penile skin adhesions
- Phimosis Treatment
- Penile Pain During Sex
- Impotence in men with diabetes.
- Vasectomy
- Premature Ejaculation
- Prostate Cancer.
- Infertility and low sperm count
- Peyronie’s Disease
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance.
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