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Chronic Testicular Pain – New Treatments for a Better Quality of Life

Thousands of men suffer from a serious, disabling condition called chronic testicular pain (CTP). CTP can be intermittent or constant. Most testicular pain is considered chronic if the patient has suffered with it for at least three months. Approximately 25 percent of testicular pain has no known cause and may be CTP.

In some patients, the pain originates in the epididymis, a crescent-shaped organ around the testicle, responsible for sperm transport and storage. This condition can mimic chronic testicular pain. Some testicular pain happens suddenly; other times, it develops slowly. It can also come and go. Sudden testicle pain can be the sign of an emergency and should be treated immediately. All testicular pain should be diagnosed as soon as possible.

CTP can interfere with normal, daily living and the ability to work. Anyone who has suffered CTP knows the frustration of going from doctor to doctor trying to find a treatment. The physicians at Chesapeake Urology offer state-of-the-art treatments and are dedicated to helping patients who suffer from CTP so that they can regain their quality of life.


Chronic Testicular Pain can vary from person to person. Some men with CTP have constant pain, while others have pain that goes away and comes back periodically. Some men only have pain during activities, while others only have pain when the testicle is touched or examined. The pain may be in one testicle, in both, or change from side to side. In some men, pain in the epididymis is mistaken for chronic testicular pain.

Men describe the sensations of CTP in many ways. It can feel like burning, aching, pressure, throbbing, heaviness, pulling or a combination. It can also feel like a groin pull. Some men report that their CTP occurs in combination with lower back pain or pain in their upper thighs or legs.

Sexual activity can aggravate the pain. CTP may also worsen when sitting for long periods of time, such as at a desk job or driving a truck. Doing heavy lifting, manual work, or even swinging a golf club may trigger CTP in a person who is prone to it.

The pain and discomfort may be accompanied by:
  • Swelling and redness of the testicles and scrotum
  • Nausea or vomiting
  • Fever
  • Painful or burning urination or penile discharge
  • Pain with intercourse or ejaculation
  • Blood in semen or urine



David M. Fenig, M.D.

David M. Fenig


Andrology, Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Low Testosterone, Male Infertility, Male Sexual Dysfunction, Microsurgery for Chronic Testicular Pain, Microsurgical Varicocele Repair, Microsurgical Vasectomy Reversal More...

Melissa Mendez, M.D.

Melissa Mendez


Andrology, Artificial Urinary Sphincter, Benign Prostatic Hyperplasia/BPH, Complex Penile Surgeries, Erectile Dysfunction, Male and Female Sexual Dysfunction, Male and Female Stress Urinary Incontinence, Male Pelvic Pain, Medical and Surgical Management of Male Infertility, Medical and Surgical Management of Peyronie's Disease More...

Devang Sharma, M.D.

Devang Sharma


Andrology, Artificial Urinary Sphincter, Benign Prostatic Hyperplasia/BPH, Ejaculatory Dysfunction, Erectile Dysfunction, General Urology, Low Testosterone, Male Infertility, Microscopic Spermatic Cord Denervation, No-Scalpel Vasectomy More...

Causes of Chronic Testicular Pain

Many conditions can cause or result in chronic testicular pain. They range from trauma and infections of the testicle to a hernia, torsion (twisting of the testicle), tumor, varicoceles, spermatoceles, hydroceles, benign cysts, and more. Most conditions that cause testicular pain are easily diagnosed and can be treated effectively through medication, surgery, and other therapies.

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