Testicular Pain: Causes and Concerns After Swimming - Urology

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Testicular pain can be concerning, especially when it arises suddenly or after physical activity, such as swimming. Based on your description, it seems that you experienced discomfort in your right testicle, which was associated with a soft lump that was only painful upon touch. Given that the pain has resolved, it’s important to consider several potential causes and factors that could have contributed to your symptoms.

One common cause of testicular pain is epididymitis, which is inflammation of the epididymis, the tube that stores and carries sperm. This condition can be caused by infections, including sexually transmitted infections, or can occur due to physical strain or trauma. However, you mentioned that you did not experience other typical symptoms such as fever, burning during urination, or unusual discharge, which are often associated with epididymitis.

Another possibility is testicular torsion, which 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, swelling, and sometimes nausea or vomiting. Since you did not experience these symptoms, it seems less likely that torsion was the cause of your discomfort.

The soft lump you felt could be a hydrocele (a fluid-filled sac around the testicle) or a spermatocele (a cyst that forms in the epididymis). Both conditions can be benign and may not cause pain unless they become large or inflamed.
Your mention of having engaged in vigorous activity, such as swimming and masturbation, suggests that the pain could also be related to muscle strain or referred pain from the groin or lower abdomen. Physical activities can sometimes lead to muscle tension or strain in the pelvic region, which can manifest as discomfort in the testicles.
It’s also worth noting that psychological factors, such as anxiety about the pain or the situation, can amplify the perception of discomfort. The body’s response to stress can lead to muscle tension, which might contribute to the sensation of pain.

Since your symptoms have resolved, it may not be necessary to seek immediate medical attention. However, if you experience a recurrence of pain, swelling, or any other concerning symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly an ultrasound to assess the structures of the testicle and surrounding tissues.

In summary, while your symptoms may have been benign and related to physical activity or minor strain, it’s important to remain vigilant. If any new symptoms arise, or if the pain returns, don’t hesitate to seek medical advice. Regular self-examinations of the testicles can also help you become more familiar with what is normal for you, making it easier to identify any changes that may require further investigation.