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Testicular pain treatment

Self care at home

In general, seek immediate medical advice if you have sudden onset of testicular pain, particularly if the pain is severe or associated with nausea, and not the result of injury such as being kicked in the testicles.

  • Apply an ice pack or a bag of frozen vegetables to your scrotum to help relieve pain and swelling. Ice packs have been shown to increase the time that a testicle can survive with decreased blood flow. Wrap the ice or vegetable bag in a cloth - do not place directly on your scrotum.
  • Pain medicines such as ibuprofen and paracetamol also may help.

Medical treatment

Your doctor will almost always give you medication for pain. Ice packs generally help reduce pain and swelling.

Other treatment depends on the cause of your pain:

  • Torsion: Torsion requires immediate surgery by a urologist (specialist in genital and urinary organs). Prior to surgery, a doctor may attempt to untwist the testicle to relieve the problem temporarily.
  • Epididymitis: In addition to pain medicine, the doctor may give you a course of antibiotics. In rare cases, you may need to be admitted to the hospital.
  • Torsion of a testicular appendage: Doctors may offer no specific treatment for this problem besides pain medicine and ice. The pain should go away within a week.
  • Hernia: Hernias usually require surgery. If you have severe pain that cannot be relieved, hospital doctors may do surgery immediately.
  • Tumour: If you have testicular cancer, you will be referred to a urologist for further treatment.
  • Rupture or haematocele: A urologist will assess this problem and often may perform immediate surgery.
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WebMD Medical Reference

Medically Reviewed by Dr Rob Hicks on May 16, 2014

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