Testicular Pain: Causes and When to Seek Help - Urology

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Testicular pain can be a concerning symptom, and understanding its potential causes is crucial for determining the appropriate course of action. Based on your description, it seems that you are experiencing pain in your right testicle after walking for a few minutes, which alleviates when sitting or lying down. You also mentioned that the pain persists upon touch, which adds another layer to the symptomatology.

There are several potential causes for testicular pain, and they can range from benign to more serious conditions. Here are some common causes:
1. Epididymitis: This is an inflammation of the epididymis, which is the tube that stores and carries sperm. It can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms often include swelling, redness, and tenderness in the affected testicle.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. This condition requires immediate medical attention to prevent permanent damage.

3. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort or pain in the groin or testicular area, especially when standing or walking.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly after prolonged standing or physical activity.

5. Trauma or Injury: Any recent injury to the groin area can lead to pain in the testicles. This could be from sports, accidents, or even vigorous sexual activity.

6. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the abdomen or lower back. Conditions like kidney stones can cause pain that radiates to the testicular area.

Given that your pain is exacerbated by walking and alleviated by sitting or lying down, it could suggest a mechanical issue, such as a hernia or varicocele, but it is essential to consider all possibilities.


When to Seek Help
You should seek medical attention if:
- The pain is severe or sudden.

- You notice swelling or redness in the scrotum.

- There is any discharge from the penis or changes in urination.

- You experience nausea or vomiting.

- The pain persists or worsens over time.


Conclusion
While some causes of testicular pain can be benign, others may require urgent medical intervention. It is essential to consult a healthcare professional for a thorough evaluation, which may include a physical examination, ultrasound, or other diagnostic tests to determine the underlying cause of your symptoms. Early diagnosis and treatment can help prevent complications and ensure better outcomes. If you have any concerns or if the pain continues, do not hesitate to reach out to a healthcare provider.