Testicular infection or torsion

Symptoms:

• sudden onset of testicle pain (in one or both testicles) with or without a predisposing event
• scrotal swelling
• extreme tenderness to pressure or traction on the testis

Specific to orchitis and epididymitis:

• fever
• chills or chilling sensation

Additional symptoms that may occur:

• testicle lump
• blood in the semen
• nausea/vomiting
• light headedness or fainting
• blood in the semen
• pain with urination
• pain with intercourse or painful ejaculation
• groin pain

Signs and tests:

Physical examination is usually sufficient to diagnose testicular torsion, orchitis, and epididymitis. Sometimes, tests will be needed to determine the causative organism for infections.