Testicular Pain: Causes and Symptoms Explained - Urology

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Testicular pain


Experiencing pain in the left testicle after a light tap, along with pain in a small area of the upper back, may indicate a condition such as testicular trauma or referred pain.
It is important to consult a healthcare professional for a proper evaluation and diagnosis.

Jian, 10~19 year old female. Ask Date: 2018/07/19

Dr. Xu Wencang reply Urology


It is possible to have referred pain, which may persist and requires an outpatient examination.

Reply Date: 2018/07/19

More Info


Testicular pain can be a concerning symptom, and understanding its potential causes is crucial for proper diagnosis and treatment. When you experience pain in the left testicle after a light touch, accompanied by discomfort in the adjacent lower back area, it could be indicative of several underlying issues.

One common cause of testicular pain is trauma or injury. Even a light touch can sometimes trigger pain if there is an underlying issue such as inflammation or a previous injury. This could include conditions like epididymitis, which is the inflammation of the epididymis (the tube that carries sperm from the testicle), often caused by infections. Symptoms of epididymitis typically include swelling, redness, and pain in the affected testicle, which may radiate to the lower back or groin.

Another potential cause is testicular torsion, a serious condition where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This usually presents with sudden, severe pain and swelling, and it is considered a medical emergency requiring immediate attention. However, torsion typically does not occur from light contact and is usually accompanied by more intense symptoms.

Hernias can also lead to referred pain in the testicles. An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles, which can cause discomfort in the groin and testicular area. If the hernia is pressing on nerves or other structures, it may lead to pain that radiates to the back.

Additionally, conditions such as varicocele (enlarged veins within the scrotum) or hydrocele (fluid accumulation around the testicle) can cause discomfort. These conditions may not always present with acute pain but can lead to a dull ache or discomfort that may be exacerbated by certain movements or positions.

In your case, since the pain is triggered by a light touch, it is essential to consider the possibility of nerve irritation or muscle strain in the lower back that may be contributing to the discomfort. The interconnectedness of the pelvic and lower back regions means that issues in one area can often manifest as pain in another.

It is important to seek medical evaluation if the pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination. A healthcare provider may perform a physical examination, and possibly imaging studies such as an ultrasound, to determine the underlying cause of the pain. Early diagnosis and treatment are key to managing any potential issues effectively.

In summary, testicular pain can arise from various causes, including trauma, infections, hernias, or vascular issues. Given the complexity of the male reproductive system and its connections to other bodily systems, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.

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