7 Possible Causes of Testicle Swollen

The swelling in the testicle is usually a sign that there is some problem in the location and, therefore, it is very important to consult a urologist so that if it identifies a difference in the size of the scrotum, so as to make the diagnosis and start the correct treatment.

In most of the times, the swelling is caused by a problem less severe as hernia, varicocele or epididymitis, but can also be a sign of changes more urgent as torsion of the testis or cancer, for example.

1. Inguinal hernia

The inguinal hernia happens when a portion of the intestine cannot pass through the muscles of the abdomen and enter the scrotum, causing swelling sharp associated with a slight pain and a constant, which does not disappear, and that gets worse when you get up from a chair or bending the body forward. Although this problem is more common in children and young adults, it can happen at any age.

  • What to do: usually you must do a small surgery in the hospital to put the gut in the correct location. This way, whenever you suspect the inguinal hernia repair is recommended to go to the hospital as soon as possible, because there is a risk of severe complications such as infection and death of the cells of the intestine.

2. Varicocele

The varicocele is a dilation of the veins of the testicle (very similar to what happens with varicose veins in the legs) that can cause swelling in the testes, more frequently in the upper part. This type of alteration is more common in the left testicle, and usually is not accompanied by other symptoms, although some men may feel a slight sensation of discomfort or heat in the region of the scrotum.


  • What to do: usually no treatment is necessary, however if there is pain it is important to go to the hospital or consult a urologist to start treatment with medicines painkillers, such as Paracetamol or Dipirona. Learn more about the treatment of varicocele.

3. Epididymitis

Epididymitis is an inflammation of the place where the channels are different if connecting to the testicle, which can manifest as a small lump in the top of the testicle. This inflammation usually happens because of a bacterial infection transmitted by unprotected anal sex, but can also arise in other cases. Other symptoms can be severe pain, fever and chills.

  • What to do: epididymitis needs to be treated with the use of antibiotics and it is, therefore, necessary to consult a urologist if there is suspicion of this infection. Treatment with antibiotics usually includes an injection of ceftriaxone followed by 10 days of oral antibiotic at home.

4. Orchitis

The orchitis is an inflammation of the testicles that can be caused by viruses or bacteria, and is usually caused by the mumps virus or by bacteria of a urinary tract infection or sexually transmitted disease, like gonorrhoea or chlamydia. In these cases, there may still arise a fever, blood in semen and pain when passing urine.

  • What to do: you need to go to the hospital to start the adequate treatment with antibiotics or medicines anti-inflammatory drugs. Until then, you can decrease the discomfort with the application of cold compresses on the spot and rest.

5. Hydrocele

The hydrocele is characterized by the growth of a pouch filled with fluid inside the scrotum beside the testicle. This change in the testicle is most common in babies, but can also happen in men over 40 years old, not being accompanied by other symptoms. Understand more about what is the hydrocele.


  • What to do: Although, in most cases, the hydrocele will disappear alone between 6 and 12 months, without the need of a specific treatment is recommended to go to the hospital to confirm the diagnosis and exclude other hypotheses are more serious.

6. Torsion of the testis

The torsion of the testicle is an emergency situation that causes swelling and pain very intense in the region of the testicles. In some cases, this twisting may not happen completely, and therefore, the pain may be less intense or arise in accordance with the movements of the body.

  • What to do: it is important to quickly go to the hospital to start the treatment with surgery and avoid serious complications such as infertility, for example.

7. Testicular cancer

One of the first symptoms of testicular cancer is the appearance of a lump or increase in size of one testicle compared to the other, and may be confused for swelling. In these cases, it is common that you do not see the pain, but it can be noticed a change in the shape and hardness of the testes.

  • What to do: the cancer should be identified as early as possible to increase the chances of a cure. So, if there is suspicion of cancer it is recommended to make an appointment at the urologist to make the necessary examinations and identify your problem.

7 Possible Causes of Testicle Swollen 1

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