Chronic Testicular Pain (CTP) pain can vary from person to person. Some men with CTP have constant pain, while others have pain that goes away and comes back periodically. Some men only have pain during activities, while others only have pain when the testicle is touched or examined. The pain may be in one testicle, in both, or change from side to side. In some men, pain in the epididymis is mistaken for chronic testicular pain.
Men describe the sensations of CTP in many ways. It can feel like burning, aching, pressure, throbbing, heaviness, pulling or a combination. It can also feel like a groin pull. Some men report that their CTP occurs in combination with lower back pain or pain in their upper thighs or legs.
Sexual activity can aggravate the pain. CTP may also worsen when sitting for long periods of time, such as at a desk job or driving a truck. Doing heavy lifting, manual work, or even swinging a golf club may trigger CTP in a person who is prone to it.
The pain and discomfort may be accompanied by:
- Swelling and redness of the testicles and scrotum
- Nausea or vomiting
- Painful or burning urination or penile discharge
- Pain with intercourse or ejaculation
- Blood in semen or urine
Causes of Chronic Testicular Pain
Many conditions can cause or result in chronic testicular pain. They range from trauma, to infections of the testicle (called orchitis) or epididymis, where sperm is stored (called epididymitis), to post surgical pain, hernia, torsion (twisting of the testicle), tumor, kidney stones, blockage, varicoceles, spermatoceles, hydroceles, benign cysts and more.
Sometimes, even after testicular pain with a known cause is treated properly, it does not go away, or it comes back, and becomes chronic.
Occasionally CTP will occur following a surgery. For example, a condition known as nerve entrapment can sometimes occur from scar tissue following a hernia repair, resulting in CTP.
Most conditions that cause testicular pain are easily diagnosed and can be treated effectively through medication, surgery and other therapies.