Testicular Pain: Causes and Concerns After DIY Activities - Urology

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Testicular issues


Hello doctor, three days ago I did some DIY, and in the last two days, I've been experiencing mild pain in my right testicle and discomfort in my right bladder.
What could be the cause?

An, 10~19 year old female. Ask Date: 2021/04/13

Dr. Jian Weihong reply Urology


Hello: If there has been unsafe sexual behavior, a clinic examination should be conducted.
If there has been no unsafe sexual behavior and the symptoms are not a constant discomfort, it may be related to nerve or circulation issues.
It is advisable to rest more and monitor whether the symptoms worsen.
Wishing you good health.

Reply Date: 2021/04/13

More Info


Testicular pain can be concerning, especially when it arises after physical activities such as DIY projects. There are several potential causes for the pain you're experiencing in your right testicle and bladder area, which can range from minor issues to more serious conditions.
Firstly, it's important to consider the possibility of trauma or strain. If your DIY activities involved heavy lifting, awkward positions, or any sort of impact to the groin area, you may have strained the muscles or ligaments surrounding the testicles. This can lead to pain that might feel localized in the testicle but could also radiate to the lower abdomen or bladder area.
Another common cause of testicular pain is epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicles. This condition 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, as well as possible discomfort during urination.

Testicular torsion is another serious condition that can cause acute pain. This occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. This is a medical emergency and requires immediate attention. Symptoms typically include sudden, severe pain in one testicle, swelling, and nausea. If your pain is severe and sudden, it’s crucial to seek medical help right away.

Hernias can also cause discomfort in the groin and testicular area. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to pain and discomfort, especially when lifting or straining.

Given that you mentioned experiencing mild pain upon touch and discomfort in the bladder area, it’s advisable to monitor your symptoms closely. If the pain persists, worsens, or if you experience additional symptoms such as swelling, fever, or changes in urination, you should consult a healthcare professional. They may perform a physical examination and possibly order imaging tests, such as an ultrasound, to determine the underlying cause of your pain.

In the meantime, here are some general recommendations to help manage your discomfort:
1. Rest: Avoid activities that may exacerbate the pain, particularly heavy lifting or strenuous movements.

2. Ice: Applying a cold pack to the affected area for 15-20 minutes can help reduce swelling and numb the pain.

3. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort.

4. Hydration: Ensure you are drinking plenty of fluids, especially if you suspect a urinary tract issue.

5. Avoid Tight Clothing: Wearing loose-fitting underwear can help reduce pressure on the testicles.

6. Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity of pain, any swelling, or changes in urination.

In conclusion, while mild testicular pain can often be attributed to minor injuries or strains, it is essential to remain vigilant and seek medical attention if symptoms persist or worsen. Early diagnosis and treatment can help prevent complications and ensure a swift recovery.

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