Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review

Testicular Pain

Stanley L. Wiener
H Kenneth Walker  1 , W Dallas Hall  1 , J Willis Hurst  1
, editors.
In: Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 186.
Affiliations
Free Books & Documents
Review

Testicular Pain

Stanley L. Wiener.
Free Books & Documents

Excerpt

Acute pain in one testicle in patients under age 25 is considered a surgical emergency. Failure to correct spermatic cord torsion with testicular ischemia within 2 to 4 hours can result in loss of testicular function and testicular atrophy.

Torsion of the spermatic cord (testicular torsion) is most commonly confused with infectious epididymo-orchitis and with torsion of the testicular and epididymal appendices. Thirty percent of seminomas, teratomas, and embryonal cell carcinomas of the testes also present with unilateral pain and tenderness of a testicle, but tumor-related pain is more gradual in onset and initially of less intensity than that seen with acute torsion. Table 186.1 summarizes the incidence of conditions causing acute testicular pain in selected age groups.

PubMed Disclaimer

References

    1. Byrd RL. Testicular leukemia: incidence and management results. Med Pediatr Oncol. 1981;9:493–500. - PubMed
    1. Chen DCP, Holder LE, Melloul IM. Radionuclide scrotal imaging: further experience with 210 new patients. Part 2: results and discussion. J Nucl Med. 1983;24:841–53. - PubMed
    1. Cranston DW, Moisey CU. The management of acute scrotum pain. Br J Surg. 1983;70:505–6. - PubMed
    1. *Goulbourne IA, Nixon SJ, MacIntyre IMC. Computer aided diagnosis in acute testicular pain. Br J Surg. 1984;71:528–31. - PubMed
    1. Holland JM, Graham JB, Ignatoff JM. Conservative management of twisted testicular appendages. J Urol. 1981;125:213–14. - PubMed

LinkOut - more resources