Testicular Pain: Causes and Concerns in Urology - Urology

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Regarding testicular pain?


Hello doctor, I am the commenter #155798.
As mentioned above, if Gardnerella, Group B Streptococcus (GBS), and Candida albicans are unrelated to varicocele, could these three organisms potentially cause pain and discomfort in the testicles and scrotum? Thank you.

KEN, 40~49 year old female. Ask Date: 2020/05/04

Dr. Xu Wencang reply Urology


It should not be the case if there is no epididymitis.

Reply Date: 2020/05/04

More Info


Testicular pain can be a complex issue, often involving multiple potential causes. In your case, you are inquiring whether Gardnerella, Group B Streptococcus (GBS), and Candida (yeast) could be related to the pain and discomfort in the testicular and scrotal area, particularly in the context of varicocele (enlarged veins within the scrotum).
To begin, it's important to understand that testicular pain can arise from various sources, including infections, trauma, vascular issues, and referred pain from other areas. Infections of the reproductive or urinary systems are common culprits.
1. Infections:
- Gardnerella: This bacterium is primarily associated with bacterial vaginosis in women but can also be found in men. While it is not a common cause of testicular pain, it can contribute to urethritis or prostatitis, which may lead to discomfort in the testicular area.

- Group B Streptococcus (GBS): This bacterium is typically associated with infections in newborns and pregnant women. In adult men, GBS is less commonly linked to testicular pain but can cause urinary tract infections or prostatitis, which may lead to referred pain in the testicles.

- Candida (Yeast): While Candida is primarily known for causing yeast infections, it can also lead to balanitis (inflammation of the glans penis) or other infections that might cause discomfort in the genital area. However, it is less likely to be a direct cause of testicular pain.

2. Varicocele:
Varicocele is a condition characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. It is a common cause of testicular pain and can lead to discomfort, especially when sitting or standing for prolonged periods. The pain is often described as a dull ache and may worsen with physical activity or heat. Varicocele can also impact fertility, so it is essential to monitor any associated symptoms.

3. Other Considerations:
- Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the abdomen or lower back. Conditions like hernias or kidney stones can also cause testicular discomfort.

- Neurological Causes: Nerve-related issues, such as nerve entrapment or irritation, can lead to pain in the testicular region.

Given your concerns, it is crucial to consult with a urologist who can perform a thorough examination, including a physical exam and possibly imaging studies, to determine the underlying cause of your symptoms. They may also recommend laboratory tests to check for infections or other abnormalities.

In summary, while Gardnerella, GBS, and Candida are not the most common causes of testicular pain, they can contribute to discomfort through infections that affect the urinary or reproductive systems. Varicocele is a more direct cause of testicular pain and should be evaluated if you are experiencing persistent discomfort. It is essential to seek medical advice to address your symptoms effectively and rule out any serious conditions.

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