Testicular Pain: Causes and Non-Surgical Solutions - Urology

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Testicular issues


Hello, doctor.
I am a student preparing for exams, and I spend most of my time sitting in a chair.
However, I do get up to walk around during breaks.
Last Sunday, it was a bit cold, so I wore tight pants while playing volleyball.
The next day, I experienced intermittent pain on the left side of my testicles.
Although it’s not very painful, it is quite bothersome, and it has lasted for two days now.
I researched online and it seems similar to varicocele, but I cannot feel any lumps in my scrotum, nor can I see anything unusual.
Could this be related to my prolonged sitting, or is it due to wearing tight pants? I have experienced occasional discomfort in the past, but it would usually resolve on its own.
Now, I am feeling anxious about it.
If it is indeed varicocele, is surgery necessary? Are there non-surgical options available? I have read many articles but found no answers, so I am reaching out to you for help.
Thank you.

Bai Tuo Yi Sheng, 10~19 year old female. Ask Date: 2018/01/23

Dr. Du Shixi reply Urology


Hello: Sitting for too long and wearing tight pants can lead to poor circulation and discomfort.
There is no issue requiring surgery, but if you experience pain 2-3 times a week, it is advisable to consult a urologist at a hospital.
Wishing you good health.

Reply Date: 2018/01/23

More Info


Testicular pain can be a concerning issue, especially for someone like you who is preparing for exams and likely spending long hours sitting. Based on your description, it seems that you are experiencing intermittent pain in the left testicle, which has persisted for a couple of days. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into potential causes and non-surgical solutions.


Possible Causes of Testicular Pain
1. Muscle Strain: Given that you were playing volleyball and may have moved suddenly, it’s possible that you strained a muscle in the groin area, which can refer pain to the testicles.

2. Tight Clothing: Wearing tight pants can sometimes lead to discomfort in the groin and testicular area. Tight clothing can restrict blood flow and cause irritation, leading to pain.

3. Epididymitis: This is an inflammation of the epididymis, often caused by infection. It can lead to swelling and pain in the testicle. This condition is more common in sexually active males but can occur in younger individuals as well.

4. Varicocele: You mentioned the possibility of a varicocele, which is an enlargement of the veins within the scrotum. While varicoceles are often asymptomatic, they can cause discomfort and are more common on the left side. However, they typically present with a "bag of worms" feeling in the scrotum, which you noted you do not feel.

5. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition usually presents with severe, sudden pain and requires immediate surgical intervention. Given that your pain is intermittent and not severe, this is less likely.


Non-Surgical Solutions
1. Rest and Ice: Since you have been active, resting and applying ice to the affected area can help reduce inflammation and alleviate pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

2. Supportive Underwear: Wearing supportive underwear can help reduce discomfort by providing support to the testicles and minimizing movement.

3. Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, consult with a healthcare provider before taking any medication, especially if you have any underlying health conditions.

4. Avoid Tight Clothing: Opt for looser-fitting pants to reduce pressure on the groin area. This can help alleviate discomfort caused by tight clothing.

5. Hydration and Diet: Staying hydrated and maintaining a balanced diet can support overall health and may help reduce discomfort.

6. Physical Activity: While you should avoid activities that exacerbate the pain, gentle stretching and light physical activity can improve circulation and reduce discomfort over time.


When to Seek Medical Attention
If the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and possibly order imaging studies to determine the underlying cause of your pain.

In conclusion, while your symptoms may be related to muscle strain or tight clothing, it is essential to monitor your condition. If the pain continues or worsens, do not hesitate to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Remember, early intervention can often prevent more serious complications.

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