The Honolulu Pain Management Clinic LLC takes a diagnostic approach to testicular pain to make sure no serious conditions are present.
Testicular Pain – Testicular or scrotal pain occurs when part or all of either one or both testicles hurt. Pain in the scrotum is also often included. Testicular pain may be either acute, subacute or chronic depending on its duration. Causes rank from benign muscular skeletal problems to emergency conditions such as Fournier’s gangrene and testicular torsion. The diagnostic approach involves making sure no serious conditions are present and may involve the use of ultrasound imaging and laboratory evaluations. Useful tests that may help in the determination of the cause include a urinalysis (usually normal in testicular torsion). The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion, torsion of a testicular appendage and epididymitis. In adults the most common cause is epididymitis.