Testicular Pain: Causes and Concerns Explained - Urology

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Testicular pain can be a concerning symptom, and it's important to understand the potential causes and implications. Based on your description, it seems you experienced acute pain in your left testicle, which lasted for about three days before subsiding. You also mentioned discovering a small lump or "bean" on the surface of the testicle, which only causes slight discomfort when pressed.

There are several possible 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, the tube that carries sperm from the testicle. It can cause pain and swelling in the affected testicle. Epididymitis is often caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs).

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It typically presents with sudden, severe pain and requires immediate surgical intervention. Although your pain has subsided, it's important to rule this out if you experience similar symptoms in the future.

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 in the groin and may be associated with testicular pain.

4. Hydrocele: This is a fluid-filled sac around a testicle that can cause swelling and discomfort. It is usually painless but can become uncomfortable if it grows large.

5. Varicocele: This is an enlargement of the veins within the scrotum, which can lead to a dull ache or discomfort, especially after prolonged standing or physical activity.

6. Tumors: While less common, testicular tumors can present as a lump on the testicle and may or may not be painful. It's crucial to have any new lumps evaluated by a healthcare professional.

Given that your pain has resolved but the lump remains, it is advisable to seek a medical evaluation. A healthcare provider may perform a physical examination and possibly an ultrasound to assess the lump and rule out any serious conditions.
In your case, the lump you described could be a benign condition such as a cyst or a small hydrocele, but it is essential to have it evaluated to ensure it is not something more serious.
Additionally, while the absence of pain during erection and ejaculation is a positive sign, it does not completely rule out the need for further investigation. Testicular health is crucial, and any changes or new symptoms should be taken seriously.

In summary, while your symptoms have improved, the presence of a lump warrants further evaluation. It is always better to err on the side of caution when it comes to testicular health. Please consult a urologist or your primary care physician for a thorough examination and appropriate management.