Applying an ice-pack is an important measure since, if the cause of the swelling is serious, it can increase the amount of time the testicles can survive without a blood supply. [2] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source Wrap the frozen ice or bag of vegetables in a dry cloth before applying to protect from frostbite.

Ibuprofen (or similar generic drug), 200 – 400 mg tablets, with or just after food, up to three times a day Aspirin, 300 mg tablets up to four times a day Paracetamol, 500 mg tablets up to three times a day Do not mix these medications. Overdose can lead to serious side-effects. [5] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source

If total rest is not possible, then wearing supportive undergarments and/or a truss can be beneficial. [6] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source

Sexual activity Strenuous physical activity, such as frequent bicycle or motorcycle riding Prolonged sitting, such as frequent travel or truck driving History of prostate or urinary tract infection Benign enlarged prostate or prostate surgery, typical in older men Anatomic defects such as a posterior urethral meatus, which occur in prepubescent boys

Your doctor may check your Cremasteric reflex, which is absent in cases of trauma. This is done by running a reflex hammer along the inner thigh, which will cause the testicle to rise up protectively into the scrotal sac in healthy testicles. [9] X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source Testicular torsion usually represents itself as an abrupt pain.

Treatment of the infection will help with pain relief and combat any worsening of the infection and potential sepsis. The Cremasteric reflex will still occur with pain due to infections.

There is no treatment for viral mumps orchitis and it may cause infertility. The only way to help is with supportive care, such as pain medications and ice packs.

An ultrasound will show increased vascularity, pockets of infection, or abscess formations. You may also suffer from other symptoms, such as discharge or blood in the urine. [14] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source

You may also have a different infection, such as a urinary tract infection or urethral infection.

An ultrasound is routinely performed for all scrotal pain and swelling, in order to check for more complicated problems. Your doctor will also check for a hydrocele, which is a collection of fluid around the testes. In this case, your doctor may drain the fluid in the office. However, since this procedure has a high rate of recurrence, they’ll likely advise surgery if the hydrocele is causing you a lot of pain. [16] X Expert Source Robert Dhir, MDBoard Certified Urologist & Urological Surgeon Expert Interview. 12 October 2020.

Medical treatment for this includes Bactrim DS or a quinolone antibiotic. The course of treatment is around 10 days, unless the prostate is involved, which may be treated longer. Often, the Prehn’s sign will ease symptoms. Ice packs are also helpful. You can reduce pain with Tylenol, Motrin, or even stronger narcotic pain medication for the first few days. [17] X Research source

Early recognition of a high-riding testicle and no Cremasteric reflex is sufficient to warrant surgical exploration. This can help prevent an orchiectomy, which is the surgical removal of the testicle. Even trauma that is not severe can cause swelling, tenderness, high fevers, and frequent and urgent need to urinate. The window from injury to surgery is approximately four to eight hours. This will prevent too much damage to the spermatic cord, which has to be untwisted quickly to avoid removal. Despite this rush to take care of it, orchiectomy rates average 42%. Delay in diagnosis may result in orchiectomy and possibly infertility. [19] X Research source Sharp, Victoria, Kathleen Kieran, and Angela M Arlen, Testicular Torsion: Diagnosis, Evaluation and Management American Family Physician, Dec 15, 2013. (88)12, 835-840