Testicular pain: private urology assessment in London

Testicular pain is one of the most common reasons men see a urologist. It should not be ignored. The causes range from minor and self-limiting to urgent conditions that need same-day assessment. Mr Vinod Nargund provides a calm, discreet private consultation to identify the cause and set out a clear plan.

When to seek urgent help

Go to A&E or call 999 straight away if you have:

• Sudden, severe pain in one testicle, especially if it comes on quickly.
• Swelling, bruising, or a change in the colour of the scrotum.
• Pain with nausea, vomiting, or fever.
• Pain after a direct injury that does not settle within an hour.

Sudden severe pain may indicate testicular torsion, which is a surgical emergency.

Common causes of testicular pain

• Infection and inflammation. Epididymitis and orchitis are common, often linked to bacterial infection or a sexually transmitted infection. See our testicular infections page for more detail.
• Testicular torsion. The cord that supports the testicle twists and cuts off the blood supply. This is a medical emergency.
• Trauma. A direct blow can cause bruising, a haematoma, or more rarely a rupture that needs surgical repair.
• Varicocele. Enlarged veins in the scrotum can cause a dull, dragging ache. See our varicocele page.
• Epididymal cyst or hydrocele. Fluid-filled swellings that can sometimes be uncomfortable.
• Referred pain. Pain from a kidney stone, hernia, or nerve entrapment can feel as if it comes from the testicle.
• Chronic orchialgia. Persistent pain with no single cause, often needing a structured, multi-strand approach.

What to expect at the consultation

Mr Nargund will take a careful history, examine you, and arrange any necessary tests. These often include:

• Scrotal ultrasound to look at the structures of the testicle and blood flow.
• Urine tests and, where appropriate, screening for sexually transmitted infections.
• Blood tests if there are signs of systemic infection or inflammation.
• Further imaging if there is any suspicion of referred pain from the kidney or abdomen.

Treatment

Treatment depends on the cause. Options include:

• Antibiotics for confirmed or strongly suspected infection.
• Anti-inflammatory medication and scrotal support for inflammation.
• Surgery for torsion, testicular rupture, symptomatic varicocele, or a persistent hydrocele.
• A structured chronic pain pathway where no single cause is found, drawing on medication, nerve-targeted treatment, and supportive physiotherapy.

Why patients choose Mr Nargund

• A clear explanation of what is causing the pain, in plain language.
• Same-consultation access to ultrasound and common diagnostic tests at HCA-affiliated facilities.
• A realistic treatment plan, not an over-investigation.
• Continuity of care with a consultant specialising in testicular disease.

Book a testicular pain consultation