Testicular Pain and Swelling encompass a range of acute and chronic conditions that can be benign or signal a serious urological emergency. Chronic testicular pain can be debilitating and requires a specialised, investigative approach to accurately identify the source, which may be inflammatory, neuropathic, or structural (e.g., Varicocoele).
Book an AppointmentDiagnosis and management range from urgent surgical exploration to highly specialised pain management and microsurgery.
| Condition | Diagnostic & Treatment Focus |
|---|---|
| Acute Pain/Swelling | Urgent ultrasound, assessment for infection (Epididymitis/Orchitis), or Testicular Torsion (surgical emergency). |
| Chronic Pain | Detailed workup (imaging, nerve blocks) to identify the source. |
| Varicocoele | Microsurgical Varicocoelectomy to correct blood flow issues that cause pain. |
| Neuropathic Pain | Highly specialised pain management, including the use of Microsurgical Denervation of the Spermatic Cord (MDSC) for refractory chronic pain. |
Given the urgency of some conditions and the difficulty of diagnosing chronic pain, our approach is defined by rapid, subspecialised assessment.
No, but new, sudden, severe pain, especially in younger men, is a surgical emergency (Torsion) until proven otherwise. You should seek immediate assessment at your closest emergency department.
Microsurgical Denervation of the Spermatic Cord (MDSC) is a highly specialised procedure used for chronic, otherwise untreatable testicular pain. It involves microscopically dividing the nerve fibers within the spermatic cord that transmit the pain signal.
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