Swelling and pain in the testicles or scrotum: what to do?

The scrotum is a skin envelope in which the testicles are located, an organ of the body that is very sensitive. However, it can happen that you feel pain or swelling in this area. In this case, it is best to make an appointment with a specialist, as the origin of the pain can be varied. It could be a swollen testicle, an abdominal problem, a hernia or cancer. If you are experiencing a feeling of heaviness or severe pain, the professionals at Cliniques Marois can treat you. Our team of urologists and sexual health specialists will provide you with the most effective treatment.

Possible causes

The causes of scrotal swelling are varied. Some are common, while others are more rare.

Causes moins fréquentes au gonflement du scrotum

When to consult?

If there is enlargement or severe pain, consider making an appointment. And if it is a painless swelling that suddenly becomes painful, the appointment should be made within six hours. This is because the pain may be due to an inguinal hernia whose blood supply has been stopped. During the visit to the doctor, he or she will begin by asking you questions about the symptoms you are experiencing. All of this information will help the doctor learn more about your medical history. It will also help him/her focus the clinical examination to understand the cause of the swelling.

Before the clinical examination, the doctor takes care to ask you when the first signs of enlargement appeared. He or she will then ask if the pain is more or less severe when you are standing or lying down. Usually, doctors also want to know if you have edema related to heart failure or a liver problem. These diseases can also cause the enlargement of the testicle.

Les examens

Possible examinations

In order to detect a swelling, the specialist has the choice of different examinations. The first of these is a palpation of the man’s testicles. During the palpation, you stand and then lie down. During this time, each testicle is palpated. This examination is used to detect the location of the mass and its sensitivity. Finally, during the examination, the doctor may decide to place a bright light near the scrotum in order to detect the accumulation of fluid.

Before making a diagnosis, the doctor performs another examination, a scrotal ultrasound. This examination allows the contents of the testicles to be visualized. In a man, the testicle contains the testicles, the epididymis and a specific fluid. The testicles produce sperm and testosterone. The epididymis is a long duct attached to the surface of the testicle that is used to transport sperm. The specific fluid bathes the testicles and the epididymis.

Scrotal ultrasound : The examination takes less than half an hour. To perform it, you lie on your back and gel is applied to your testicle. The urologist then places a probe on the skin to get a clear view of the testicle. The image is immediately visible on a screen. This examination is not painful. It is recommended when the urologist is looking for trauma in the patient. The doctor may also decide to perform it if the testicle is swollen, if he or she detects a suspicious mass or if you complain of pain.

The treatments

Whatever the cause of the enlargement, Les Cliniques Marois is able to find the most appropriate solution.


If you are experiencing testicular or scrotal pain, it is best to make an appointment with one of our specialists. At Cliniques Marois, you will be examined by urologists with years of experience in the field. These professionals also have state-of-the-art equipment. Therefore, the examinations that will be done will allow them to know exactly what ailment you are suffering from.

Once the disease has been identified, you will receive the most appropriate treatment. At Cliniques Marois, you are dealing with professionals who care about your well-being. Whatever the problem you have, don’t hesitate to contact us so that you can get back to normal and no longer have pain in your testicles.

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