Chronic testicular pain: What are the causes?

Chronic testicular pain: What are the causes?

Testicular pain is relatively common; however, when it becomes severe and long-lasting, there may be some cause for concern. This type of testicular pain is called orchialgia.

So what are some of the different causes of orchialgia and what can your urologist do to help?

What is orchialgia?

Orchialgia is chronic testicular pain and is defined as three months of intermittent or constant testicular pain that is significantly annoying for the patient. For some men, the entire scrotum, epididymis or other close body parts in the groin area can become painful too.


Trauma caused by some kind of external hit may cause ongoing pain; however, this is rare. If you suffer anything more than mild pain in the testicles following some kind of trauma, it is important that you see a urologist for assessment.


Epididymitis is the inflammation or infection of the epididymis – duct behind the testis, along which sperm passes to the vas deferens. Symptoms include a swollen, red or warm scrotum, testicular pain and tenderness, painful urination, and pain or discomfort in the pelvic area. Treatment will involve a course of antibiotics.


Orchitis is an inflammation of the testicles which is most likely caused by either a bacterial infection or a virus. This may affect one or both of the testicles. Treatment will depend on the cause, but usually involves antibiotics.


Swelling and inflammation of the prostate gland is known as prostatitis and can cause pain in the testicles. Treatment will depend on the type and the underlying cause, but will most likely involve antibiotics.

Inguinal hernia

Sometimes testicular pain can be caused by an inguinal hernia. This when part of the soft tissues in the abdomen protrude through an area of weakness or a defect in your lower abdominal muscles. Treatment may involve surgery.


Varicoceles are enlarged veins located within the scrotum, that may cause testicular pain. Treatment is not always required, but if they are causing pain, testicular atrophy or infertility treatment may be recommended.

Testicular Torsion

Testicular torsion is an urologic emergency. It is when the spermatic cord, which carries blood to the testicles, twists. As a result, blood flow is reduced and the tissues in the testicle can start to die. It is extremely painful. Surgery will be required to treat it.

Testicular cancer

Most of the time, testicular cancer is not painful. However, if the tumors grow quickly, they can cause pain. Treatment will depend on the stage of the cancer. 

Interested in learning more about urological health? Check out some of our other blog posts: 

Vasectomy: What you need to know

10 bladder health superfoods you should incorporate in your diet

What blood in your urine might mean

Chronic testicular pain is not an easy thing to go through and should never be taken lightly. It is important to talk to a trusted professional when it comes to your health. If you have any questions about orchialgia, or would like to book an appointment, please feel free to contact or call Dr Arianayagam’s office on 1300 307 990, and his staff will be happy to assist.

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