Testicular Pain

The most common testicular congenital anomaly producing pain is cryptorchidism. Pain in an undescended testis without trauma usually indicates infection or torsion. Emergency surgical exploration is the treatment of choice. The incidence of malignancy is 20 times higher in an undescended testis than in a descended testis. Bacterial or viral orchitis or epididymo-orchitis is a painful condition that needs urgent attention.

Tumors of the testis are generally malignant; however, extratesticular tumors within the scrotum are usually benign. The earliest sign of the tumor is a painless testicular mass. Pain is a late sign and is usually described as a dull ache, testicular heaviness, or dragging. Treatment of testicular tumor depends on the cell type and disease stage. Seminoma is generally radiosensitive.