Testicular pain: when to see a specialist

Written by: Mr Andrew Ballaro
Published:
Edited by: Karolyn Judge

When pain in the testicles becomes an ongoing issue, it may be time to see a doctor. Leading senior urology consultant Mr Andrew Ballaro advises on chronic testicular pain and what to do if you experience it. 

Young man sat on a bench, thinking by a bare tree on sunny, cold day

What is considered chronic testicular pain?

Chronic testicular pain is discomfort perceived to originate from the scrotum that has lasted over three months and interferes with daily living enough for the patient to seek treatment. The pain can be intermittent or constant, and is usually described as a dull ache but can also be a dragging, burning or sharp sensation.

 

 

What are the most common causes of testicular pain?

There are many causes of testicular pain such as:

  • Infections
  • Post-traumatic reactions
  • Post-surgical reactions
  • Varicocele

In addition, cysts and tumours can cause testicular pain. Conditions arising outside of the scrotum such as prostate and bladder problems, or kidney stones, can create problems, too. We find no clear cause in up to half of patients. 

 

 

When should I see a doctor about testicular pain?

You should see a doctor about testicular pain if it occurs very suddenly and is severe. In which case, a twisted testicle may have occurred so the accident and emergency department is the best place to go. For chronic pain, you should see a doctor if it has not responded to pain killers and is interfering with activities in your daily life. You should also see a doctor if you find any new lumps in the scrotum.

 

 

Can testicular pain be a medical emergency in some cases?

Sudden onset testicular pain may be caused by testicular torsion, which is an emergency and requires urgent surgical treatment. Torsion is more likely in younger men and boys but can occur in middle age.

 

 

How can I relieve testicular pain at home?

Testicular pain sometimes requires no treatment and will go away on its own. If the pain is a mild, dull ache, the testicle is not tender to touch and feels normal with no swelling, it is reasonable to take over the counter pain relief for a few days, which often settles it.

 

 

How long does testicular pain take to alleviate?

Chronic testicle pain with no cause can take many months to settle.

 

 

When might treatment be necessary?

Treatment is necessary when a reversible cause for the pain is found. In addition, chronic pain with no cause often responds well to a specific type of painkiller only available on prescription, which targets the nerves responsible for chronic pain pathways.

 

As a last resort, operations can be performed to strip the nerves causing the pain from the testis and testicular removal may also help.

 

 

If you’re concerned about chronic testicular pain or related issues, get in touch with Mr Andrew Ballaro for expert advice. Visit his Top Doctors profile here

By Mr Andrew Ballaro
Urology

Mr Andrew Ballaro is a senior NHS and private consultant urologist in North London and Essex. He specialises in the diagnosis and treatment of all urological problems including blood in urine, urinary infections, prostatitis, general prostate and bladder disease, and the diagnosis of urological cancers including the investigation of raised PSA with MRI Fusion prostate biopsy.

He has specialist surgical expertise in the management of kidney stone disease and benign prostate enlargement (BPE), and consistently publishes UK leading results for complex stone operations. He also offers a choice of surgical procedures for benign prostatic enlargement tailored to the patients requirements including Holmium Laser prostatectomy (HOLEP) and minimally invasive Rezum steam treatment.

Mr Ballaro is experienced at providing second opinions and holds clinics on Wednesdays and Fridays at St John and Elizabeth Hospital in St Johns Wood and also consults in Brentwood, and is supported by a friendly professional and responsive managerial team. Mr Ballaro's extensive training began after graduating from The Royal Free Hospital Medical School in London, and undertaking his basic surgical training at Oxford. He was awarded a Fellowship from the Royal College of Surgeons of London and went on to complete higher urological training on the North London Training Scheme. This was followed by advanced training in complex stone surgery from national and international experts in his field.

Mr Ballaro has a strong interest in education, currently teaching trainees at the London Deanery across many levels, in addition to being awarded a Hunterian Professorship from the Royal College of Surgeons of England. He holds a Masters degree in Urology and an MD in Clinical Sciences from the Institute of Urology and has published extensively on the subjects of bladder physiology and minimally invasive urological surgery. He is the co-author of the latest edition of the popular medical student textbook 'Lecture Notes in Urology'.

Mr Ballaro conducts face to face, phone and video consultations - please phone 0207 042 1790 or email for details and free post consultation advice by email if required, at: andrew.ballaro@privatepractice.healthcare

Additional patient reviews available at https://www.iwantgreatcare.org/doctors/mr-andrew-ballaro

View Profile

Overall assessment of their patients


This website uses its own and third-party cookies to collect information in order to improve our services, to show you advertising related to your preferences, as well as to analyse your browsing habits..