Testicle pain has a number of possible causes. The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Testicle pain may arise from within the testicle itself or from the coiled tube and supporting tissue behind the testicle (epididymis).

Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else — for example, kidney stones and some hernias may cause testicle pain. The cause of testicle pain can't always be identified.

Causes of testicle pain or pain in the testicle area can include:

  1. Diabetic neuropathy (nerve damage caused by diabetes)
  2. Epididymitis (testicle inflammation)
  3. Gangrene (specifically, a type of gangrene called Fournier's gangrene)
  4. Henoch-Schonlein purpura (blood vessel inflammation)
  5. Hydrocele (fluid buildup that causes swelling of the scrotum)
  6. Idiopathic testicular pain (unknown cause)
  7. Inguinal hernia
  8. Kidney stones
  9. Mumps
  10. Orchitis (inflamed testicle)
  11. Retractile testicle (a testicle that pulls up inside the groin — this condition occurs in young boys)
  12. Scrotal masses
  13. Spermatocele (fluid buildup in the testicle)
  14. Testicle injury or blow to the testicles
  15. Testicular cancer
  16. Testicular torsion (twisted testicle)
  17. Undescended testicle (also called cryptorchidism)
  18. Urinary tract infection
  19. Varicocele (enlarged veins in the scrotum)
  20. Vasectomy

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

Apr. 10, 2014