Testicular Pain: Symptoms, Complaints, Signs

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.