Chronic testicular pain

Lore & Background

Chronic testicular pain is characterized as a squeezing deep ache in the testis, often described like the day after being kicked there. The pain is frequently bilateral or alternates from one side to the other, is intermittent, and most commonly associated with lower back pain. Some patients feel as if the testicle is pinched in the crotch of the underwear, but trouser readjustment does not help. Pain may also occur in the inguinal area without nausea or other symptoms.

Reader's Guide

The significance of chronic testicular pain lies in its persistence and impact on quality of life. The condition is defined by duration—more than three months—and a range of possible causes including injury, infection, surgery, cancer, varicocele, testicular torsion, and vasectomy. A more recently identified cause is IgG4-related disease. Diagnosis routinely includes testing for gonorrhea and chlamydia. Treatment often involves NSAIDs and antibiotics, though these are not always effective. The condition's association with lower back pain and activities that stress the lower back, such as lifting heavy objects or prolonged unsupported seating, highlights a musculoskeletal component that may guide management.

Did You Know?

• The pain is often described as a squeezing deep ache like the day after being kicked in the testis.
• Onset of pain is commonly related to activity that stresses the low back, such as lifting heavy objects.