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:
- Diabetic neuropathy (nerve damage caused by diabetes)
- Epididymitis (testicle inflammation)
- Gangrene (specifically, a type of gangrene called Fournier's gangrene)
- Henoch-Schonlein purpura (blood vessel inflammation)
- Hydrocele (fluid buildup that causes swelling of the scrotum)
- Idiopathic testicular pain (unknown cause)
- Inguinal hernia
- Kidney stones
- Orchitis (inflamed testicle)
- Retractile testicle (a testicle that pulls up inside the groin — this condition occurs in young boys)
- Scrotal masses
- Spermatocele (fluid buildup in the testicle)
- Testicle injury or blow to the testicles
- Testicular cancer
- Testicular torsion (twisted testicle)
- Undescended testicle (also called cryptorchidism)
- Urinary tract infection
- Varicocele (enlarged veins in the scrotum)
April 10, 2014
Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.
- Wampler SM, et al. Common scrotal and testicular problems. Primary Care: Clinics in Office Practice. 2010;37:613.
- Eyre RC. Evaluation of the acute scrotum in adult men. http://www.uptodate.com/home. Accessed Aug. 19, 2013.
- Keoghane SR, et al. Investigating and managing chronic scrotal pain. BMJ. 2010;341:c6716.
- Brenner JS, et al. Causes of scrotal pain in children and adolescents. http://www.uptodate.com/home. Accessed Aug. 19, 2013.
- AskMayoExpert. Testicular or scrotal pain in boys. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Scrotal pain. The Merck Manuals: Home Edition for Patients and Caregivers. http://www.merckmanuals.com/home/kidney_and_urinary_tract_disorders/symptoms_of_kidney_and_urinary_tract_disorders/scrotal_pain.html?qt=groin pain&alt=sh. Accessed Aug. 16, 2013.
- Cooper CS, et al. Undescended testes (cryptorchidism) in children: Clinical features and evaluation. http://www.uptodate.com/home. Accessed Aug. 19, 2013.