From the Research
Yes, an inguinal hernia can cause testicular pain, as evidenced by a recent case report in 2024 1, which highlights the importance of prompt diagnosis and management to prevent complications. This occurs when part of the intestine or abdominal tissue pushes through a weak spot in the abdominal muscles near the groin, creating pressure on surrounding structures including the spermatic cord that connects to the testicle. The pain may range from mild discomfort to sharp, severe pain and can worsen with physical activity, coughing, or straining. Sometimes the pain radiates from the groin into the testicle. If you experience testicular pain along with a visible bulge in the groin area, seek medical attention promptly. Key points to consider include:
- The connection between inguinal hernias and testicular pain relates to their shared anatomical pathways, as both the hernia and the testicles' blood vessels and nerves pass through the inguinal canal.
- Treatment typically involves surgical repair of the hernia, either through open surgery or laparoscopic techniques, with recovery times ranging from 1-3 weeks for minimally invasive procedures to 3-6 weeks for open surgery.
- Pain management before surgery may include rest, avoiding heavy lifting, and over-the-counter pain relievers like ibuprofen.
- A study from 2016 2 found that incarcerated inguinal hernia mesh repair can affect testicular blood flow, but the final values remained within reference ranges, suggesting no clinically significant effect on testicular flow and immunologic response.
- Another study from 2008 3 reported a higher proportion of patients with long-term testicular pain after laparoscopic extraperitoneal inguinal hernia repair compared to open mesh repair. However, the most recent and highest quality study 1 takes precedence in guiding clinical decision-making, emphasizing the need for prompt intervention in cases of inguinal hernia presenting with testicular pain.