Swollen or Painful Testicle

A swollen or painful testicle can be a concerning and potentially serious condition that requires prompt medical attention. The testicles, also known as testes, are two oval-shaped organs located inside the scrotum, which is a sac of skin and muscle that protects them.

Causes of Swollen or Painful Testicle

  • Testicular Torsion: A twisted spermatic cord can cut off blood flow to the testicle, causing severe pain and swelling. This is a medical emergency that requires immediate attention.
  • Epididymitis: Inflammation of the epididymis, a tube behind the testicle that stores sperm, can cause pain and swelling in the testicle.
  • Orchitis: Inflammation of one or both testicles, usually caused by bacterial or viral infections, can lead to pain and swelling.
  • Testicular Cancer: Although rare, testicular cancer can cause a swollen or painful testicle. It is essential to seek medical attention if you notice any unusual changes in your testicles.
  • Injury or Trauma: A direct blow to the testicle can cause pain and swelling.
  • Hydrocele: A buildup of fluid around a testicle can cause swelling, but it is usually not painful.
  • Varicocele: An enlargement of the veins within the scrotum can cause a swollen or painful testicle.

Symptoms of Swollen or Painful Testicle

  • Pain or discomfort in one or both testicles
  • Swelling or redness of the scrotum
  • A feeling of heaviness or aching in the testicle
  • Fever or chills
  • Nausea or vomiting
  • Abnormal discharge or blood in the semen

Diagnosis and Treatment

A physical examination, medical history, and diagnostic tests such as ultrasound, blood tests, or urine tests can help determine the cause of a swollen or painful testicle. Treatment depends on the underlying cause and may include:

  • Surgery: To treat conditions like testicular torsion, epididymitis, or testicular cancer.
  • Antibiotics: To treat bacterial infections such as epididymitis or orchitis.
  • Pain management: To alleviate pain and discomfort.
  • Rest and elevation: To reduce swelling and promote healing.

Prevention and Self-Care

To prevent a swollen or painful testicle, it is essential to:

  • Wear protective gear during sports or activities that may involve direct blows to the groin area.
  • Practice good hygiene and safe sex to reduce the risk of infections.
  • Perform regular self-examinations to detect any unusual changes in your testicles.
  • Avoid heavy lifting, bending, or straining, which can put pressure on the testicles.

If you experience a swollen or painful testicle, seek medical attention promptly to ensure proper diagnosis and treatment. Early intervention can help prevent complications and promote optimal recovery.

Article last updated on: 11th April 2025.
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