Men's Health

Testicular Pain

Testicular pain (orchialgia) can result from various conditions affecting the testicles, epididymis, or surrounding structures, ranging from minor injuries to serious medical emergencies requiring immediate intervention. Dr. Gorakh Nath Mishra, experienced urologist at GyneNepal, Kathmandu, specializes in comprehensive evaluation and treatment of testicular pain. Affecting males of all ages, testicular pain requires prompt assessment to rule out testicular torsion (surgical emergency) and other serious conditions. Dr. Mishra's systematic approach includes detailed examination, ultrasound imaging, and appropriate management. He has successfully treated over 800 testicular pain cases, preventing complications and preserving fertility. Acute severe pain requires emergency evaluation within 4-6 hours. Chronic testicular pain affects quality of life and requires multidisciplinary management. Serving Kathmandu, Lalitpur, Bhaktapur with expert urological care.

Warning Signs & Symptoms

⚠️Sudden severe scrotal pain (testicular torsion)
⚠️Gradual onset pain (epididymitis)
⚠️Dull aching pain
⚠️Sharp stabbing pain
⚠️Scrotal swelling and redness
⚠️Testicular tenderness on palpation
⚠️Nausea and vomiting
⚠️Fever (if infection)
⚠️Painful urination (dysuria)
⚠️Visible lump or mass
⚠️Heaviness in scrotum

Common Causes

🔍Testicular torsion (twisted spermatic cord) - EMERGENCY
🔍Epididymitis (inflammation of epididymis)
🔍Orchitis (testicular inflammation)
🔍Trauma or injury to testicles
🔍Varicocele (enlarged veins in scrotum)
🔍Hydrocele (fluid accumulation)
🔍Inguinal hernia
🔍Kidney stones (referred pain)
🔍Sexually transmitted infections
🔍Testicular tumor (rare)
🔍Chronic orchialgia (idiopathic)

Diagnostic Tests

Detailed history (onset, duration, severity)
Physical examination of testicles and scrotum
Cremasteric reflex assessment
Scrotal ultrasound with Doppler (blood flow)
Urinalysis and urine culture
STI screening (chlamydia, gonorrhea)
Complete blood count (if infection suspected)
Tumor markers (if mass present)
CT scan for kidney stones

Treatment Options

💊Testicular torsion: Emergency surgical detorsion within 6 hours
💊Epididymitis: Antibiotics (doxycycline, fluoroquinolones)
💊Orchitis: Antibiotics and anti-inflammatory medications
💊Pain management: NSAIDs, acetaminophen
💊Scrotal support and elevation
💊Ice packs for acute swelling
💊Varicocele: Surgical repair if symptomatic
💊Hydrocele: Aspiration or surgical repair
💊Chronic pain: Nerve blocks, physical therapy
💊Psychological support for chronic orchialgia

Recommended Specialist

Dr Gorakh Nath Mishra

Dr Gorakh Nath Mishra

MBBS, MS (General Surgery)

20 years
View Full Profile

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Contact Information

📞
Phone
+977 9700682797
📧
Email
info@gynenepal.com
📍
Location
Dillibazar Pipalbot, Kathmandu
Hours
Mon-Sat: 8 AM - 6 PM