Differential Diagnosis for Testicle Pain during Urination
Single Most Likely Diagnosis
- Urinary Tract Infection (UTI): This is a common condition that can cause pain in the testicles during urination due to the proximity of the testicles to the urinary tract and the potential for referred pain.
Other Likely Diagnoses
- Epididymitis: Inflammation of the epididymis, often caused by bacterial infection, can lead to testicle pain that may worsen during urination.
- Prostatitis: Inflammation of the prostate gland can cause pain in the testicles, perineum, or penis, and this pain may be exacerbated during urination.
- Urethritis: Inflammation of the urethra, often due to infection, can cause dysuria (painful urination) and may be associated with testicle pain.
Do Not Miss Diagnoses
- Testicular Torsion: Although less common, testicular torsion is a medical emergency that can cause severe testicle pain and may be associated with nausea, vomiting, and abdominal pain. It requires immediate attention to preserve the testicle.
- Appendicitis: In some cases, appendicitis can present with testicle pain, especially if the appendix is located near the testicles (retrocecal appendix). This is a surgical emergency.
- Kidney Stone: A kidney stone passing through the urinary tract can cause severe pain, including testicle pain during urination, and requires prompt medical evaluation.
Rare Diagnoses
- Orchitis: Inflammation of one or both testicles, usually caused by bacterial or viral infection, can lead to testicle pain.
- Varicocele: Enlargement of the veins within the scrotum can cause aching pain in the testicles, which might be noticed during urination due to increased abdominal pressure.
- Henoch-Schönlein Purpura (HSP): A rare condition that can cause testicular pain among other symptoms like purpura, arthritis, and abdominal pain.