Testicular pain can manifest itself as follows:
- Pain on pressure/touch
- Feeling of heaviness
- Pain of annihilation
- Pulling pain
In addition to these various pain characters, the following accompanying symptoms may occur:
- Testicular swelling
- Redness
- Local overheating
- Fever
- Dysuria – pain during urination
- Radiation of pain to the groin and abdomen (belly).
Warning signs (red flags)
- Pressure-sensitive testis → think of: Orchitis (inflammation of the testis), epididymoorchitis (combined inflammation of the testis (orchis) and epididymis (epididymis)), or testicular torsion (twisting of the testicular vessels; most common diagnosis in children and adolescents; 10-20 years of age).
- Acute onset of pain in the scrotum (scrotum), usually unilateral + nausea (nausea)/vomiting → think of: Testicular torsion
- Urethral discharge → think of: Epididymitis (epididymitis) or epididymoorchitis.