Can prostate cancer cause testicular pain?

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Last updated: February 13, 2025View editorial policy

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From the Research

Prostate Cancer and Testicular Pain

  • Prostate cancer can metastasize to the testicles, causing testicular pain, as reported in a case study of a 56-year-old male with metastatic prostate cancer to the bilateral testicles 1.
  • A 60-year-old man presented with unilateral testicular pain and urinary frequency, which was later diagnosed as metastatic prostate adenocarcinoma to the testicles 2.
  • Testicular metastasis of prostate adenocarcinoma is a rare event, but it can cause scrotal pain, as seen in a 70-year-old patient with a history of prostate adenocarcinoma 3.

Clinical Presentation

  • Testicular pain can be a symptom of metastatic prostate cancer, and it is essential to consider this possibility in patients with a history of prostate cancer 1, 2, 3.
  • The clinical presentation of testicular metastasis can be similar to that of orchiepididymitis, making diagnosis challenging 3.
  • Chronic pain can have a negative impact on sexuality in testis cancer survivors, highlighting the importance of addressing pain management in these patients 4.

Diagnosis and Treatment

  • A correct diagnosis of testicular metastasis is crucial, as it can change the treatment approach 3.
  • Patients with testicular pain should undergo a thorough examination, including a review of their past medical history, to exclude previous malignancies 3.
  • Treatment for testicular metastasis may involve orchiectomy, as seen in the case of a 60-year-old man with metastatic prostate adenocarcinoma to the testicles 2.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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