Sore and swollen testicles: Causes and advice

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Sore and swollen testicles: Causes and advice
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Testicular pain and swelling are often reasons why men consult a medical professional. Although these problems are generally benign, immediate care can be necessary so as to better preserve the testicle’s sexual and reproductive functions.  What are the causes associated with the pain and swelling and what should you do? 

Possible causes

Testicular pain (whether it is chronic on not) and swelling can be caused by multiple reasons.  This is why it is important that you contact a doctor to make a diagnosis:

  • Torsion of the spermatic cord,
  • Vasectomized man suffers a rupture in the epididymis,
  • Infection,
  • Trauma,
  • Chronic pain,
  • Lump or hardening inside the testicle (Cancer related or other),
  • Epididymis cysts,
  • Water accumulation around testicles (hydrocele),
  • Cysts on the spermatic cord (Structure lining the testicle to the abdominal cavity),
  • Varicose veins around the testicle,
  • Abdominal hernia,
  • Slipped disc or a trapped nerve around the spinal column…

Advice: How should you react?

Depending on the incident, recommendations on how to react differ:

  • Torsion of the spermatic cord: This is a severe case and should be treated immediately. So that the testicle can be save, the affected person should be taken to A&E at least 4 to 6 hours following the accident.
  • Epididymis rupture:  This case isn’t urgent but it should be seen to by a doctor. 
  • Testicular or Epididymis infection: This could either be due to a sexually transmitted infection (STI).  This should be dealt with immediately by contacting your doctor.
  • Trauma (Scrotum a bluish colour) : This should be dealt with immediately.  The colour could indicate a tear in the scrotum.  The person should be taken to A&E within 12 hours.
  • Varicose veins, cysts, hernia, lumps or hardening: You should contact your doctor as soon as possible so further examinations can be carried out as your fertility could be weakened.

So that you can stay in good health, you can self examine your testicles each month.  If you notice any pain, swelling, lumps, hardening or any other irregularity you should contact you doctor straight away.


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