Pain in the testicles and lower abdomen? Spanish-speaking urologist and andrologist in London

Misinformation among men on penile and testicular problems is particularly worrying, to such an extent that they do not know how to answer basic questions on their health. For example, if you suffer from testicular pain, who are you going to see? Who can you contact in case of premature ejaculation? Should you go to a Urologist or an Andrologist? Is it better to look for a Spanish-speaking Andrologist, giventhe sensitivity of the subject? In this new post from Diga33 – your Spanish doctor in London – we will try to shed some clarity: we will focus on testicular pain, a recurring disorder that can hide several consequences.

Testicular pain: what to do, who to go to and why!

If you are experiencing persistent, acute or chronic pain, which may be present in one or both testicles and may spread to the lower abdomen, belly (above the bladder) and groin area (which would feel like something is pulling), you must immediately contact your GP or a trusted Andrologist-Urologist in London. The causes of testicular pain can be different and include infections, traumatic injuries, so much so that they become real emergencies.

Pain in the testicles and lower abdomen. Why do they hurt?

It is right to clarify that, most of the times, when someone has pain in the testicles, this is attributable to trauma (the classic blow to the testicles). A trauma in the groin area can be very painful, but the pain disappears in a few hours or days without any consequence. The testicles are contained in a sac of skin called the scrotum. The scrotum hangs outside the body in front of the pelvic region. So, where there is a trauma, the impact of it is entirely discharged on the testicles. Additionally, the groin area is rich in sensory nerve endings. The testicles are one of the most innervated areas of the human body.

What are the testicles for?

The testicles are part of the male reproductive organs. They produce sperm and the male sex hormone called testosterone.

Testicular pain: the most common causes

Besides bruises or traumas to testicles, which we already discussed, the causes of testicular pains can be many and, in some cases, they cannot be determined. However, the following ones are the most common found in thousands of cases.

Testicular Torsion

Twisting of a testicle is a potentially serious condition that occurs when the spermatic cord becomes twisted, restricting blood flow to the testicles. This leads to sudden and severe pain in the testicle. There may be bloating, abdominal pain and vomiting. Twisting can occur spontaneously, but it can also be caused by a trauma. It is more common in young males between the ages of 10 and 20. It requires urgent treatment.


The epididymis is a coiled tube that sits on the back of the testicle. It stores the sperm produced by the testicle and, when the sperm is mature, it is released during ejaculation. The epididymis can become swollen and painful if it gets inflamed. The inflammation is usually caused by sexually transmitted infections, such as chlamydia, and can lead to sore testicles. Epididymitis can affect one or both testicles at the same time.


Exposure to a bacterial or viral infection, such as the mumps virus, can cause orchitis, which may lead to an inflammation of the testicles. Epididymitis and orchitis often occur together, causing a condition called epididymis-orchitis. Inflammation, epididymitis and orchitis cause pain in the testicle area, which is tender, swollen, and can be hot to the touch.


Spermatoceles are fluid-filled cysts, often containing dead sperm. They develop in the epididymis, near the testicle. They are not harmful or cancerous and are often painless. It is not clear why they develop, but it could be due to a blockage in the tubes that carry sperm.


Varicocele is the term given to a group of enlarged veins in the testicle. 90% of them occur in the left testicle. The consultant will be able to distinguish between swollen veins and the normal underlying organ fairly quickly through a routine examination. A varicocele is said to look like a “sack of worms” and may be linked to infertility.


Sometimes a layer of fluid can build up in a sac around the testicle: this is called a hydrocele. Hydroceles can form because of an inflammation or injury to the testicle. They often appear spontaneously, are generally painless and rarely harmful. Up to 10% of male babies are born with a hydrocele, which usually settle without any treatment by the time they turn one year of age.

Testicular Cancer

A testicular cancer can cause pain and swelling in the testicular area. Other symptoms may include:

  • A dull pain in the groin.
  • A lump in the testicle.
  • Testicular swelling.

The symptoms of testicular cancer can resemble many other conditions that affect males, such as inguinal hernias and epididymitis. A doctor can help diagnose the cancer or any other underlying condition.

Kidney Stone

Kidney stones can cause pain that radiates to the testicles. Other symptoms that doctors may associate with kidney stones include:

  • Traces of blood in the urine
  • Burning when urinating
  • Nausea
  • Pain in the upper part of the penis
  • Frequent urination
  • Vomit


Hernias occur when a tissue pushes through a weak part of the abdominal muscles. An inguinal hernia is a type of hernia that can push into the scrotum, causing pain and swelling in the testicles. Doctors may be able to reduce or reinsert an inguinal hernia into its place. If this is ineffective, they can correct the hernia with surgery.

When it is necessary to see a Urologist or Andrologist

Sudden and severe pain in the testicles can be a sign of testicular torsion, a twisted testicle that can quickly lose blood supply. This condition requires immediate medical treatment to prevent the loss of the testicle. Testicular torsion can occur in males of any age, although it is more common in adolescents.

GO IMMEDIATELY to a Urologist or Andrologist OR FIRST AID if you have:

  • Sudden and severe pain in the testicles; or
  • Testicular pain accompanied by nausea, fever, chills, or blood in the urine.

Schedule your URGENT visit with a trusted UROLOGIST OR ANDROLOGIST if you have:

  • Mild testicular pain that lasts longer than a few days.
  • A lump or swelling in or around a testicle (MIGHT BE A CANCER)

To sum up

When the pain is sudden and persistent, do not waste time and contact the emergency room as soon as possible. In all other cases it is advisable to contact a trusted Andrologist or Urologist in London, who will be able to carefully evaluate the situation and identify with certainty the cause of the pain. As we have seen, there are several options that need to be considered. If you do not have an answer to the question ” Testicular pain: who are you going to see? “, Diga33 can help you. Call us, we are waiting for you!

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