Getting to the Root of Scrotal Discomfort Quickly and Safely

Testicular pain (고환 통증 – gohwan tongjeung) can be alarming—whether it’s a dull ache, a sharp jolt, or persistent discomfort in the scrotum. While not all causes are dangerous, some require urgent medical attention to prevent serious complications like fertility loss or infection. At specialty clinics such as Gangnam J Urology Clinic, testicular pain is treated as a high-priority concern, with same-day evaluation, imaging, and targeted treatment to ensure both comfort and safety.

What Is Testicular Pain?

Testicular pain refers to pain in one or both testicles, often felt in the scrotum, groin, or lower abdomen. It can be:

• Acute (sudden and severe)
• Chronic (lasting more than 3 months)
• Intermittent (comes and goes)
• Radiating (pain felt in the surrounding area, like the lower back or thigh)

It’s essential to determine the underlying cause quickly—especially in acute cases, where testicular torsion or infection must be ruled out immediately.

Common Causes of Testicular Pain

1. Epididymitis – Inflammation of the epididymis, often from infection
2. Orchitis – Inflammation of the testicle, often viral (e.g., mumps) or bacterial
3. Testicular Torsion – A twisting of the spermatic cord that cuts off blood flow (a surgical emergency)
4. Inguinal Hernia – Intestinal tissue pushing into the scrotum
5. Varicocele – Enlarged veins around the testicle causing dull discomfort
6. Trauma – Injury from sports or accidents
7. Referred Pain – From kidney stones, back problems, or urinary issues
8. Tumor or Mass – Though less common, testicular cancer can cause discomfort or heaviness

When to See a Doctor Immediately

Seek immediate care if you experience:

• Sudden, intense scrotal pain
• Swelling or redness in the testicle or scrotum
• Nausea or vomiting accompanying testicular pain
• Fever or chills
• Pain following an injury

Testicular torsion is a urological emergency and must be treated within 6 hours to avoid permanent damage or loss of the testicle.

How Is Testicular Pain Evaluated in Korea?

At Gangnam J Urology Clinic, testicular pain is assessed using a fast, structured approach:

1. Detailed Consultation
   The urologist will ask about symptom duration, location, severity, injury history, sexual activity, and any accompanying urinary symptoms.
2. Physical Examination
   A careful scrotal exam is performed to check for swelling, tenderness, lumps, or asymmetry.
3. Scrotal Ultrasound (음낭 초음파 – eum-nang choum-pa)
   This imaging test uses sound waves to visualize blood flow, masses, and inflammation—essential to rule out torsion, tumors, or fluid collections.
4. Urinalysis
   A urine test helps identify infections (e.g., urinary tract infections or sexually transmitted infections).
5. Blood Tests
   In some cases, lab tests may be ordered to check for inflammatory markers or hormonal imbalances.

Treatment Options Based on Cause

• Infection (e.g., epididymitis or orchitis): Antibiotics, rest, scrotal support, and anti-inflammatory medications
• Torsion: Emergency surgery to untwist the spermatic cord and restore blood flow
• Hernia: Referral to surgery if bowel tissue is involved
• Varicocele or tumor: Further evaluation, surgical options, or fertility consultation
• Trauma: Ice, elevation, and monitoring (or surgery in severe cases)

Why Choose Gangnam J Urology Clinic for Testicular Pain?

• Same-Day Evaluation: Quick access to imaging and treatment for urgent symptoms
• Experienced Urologists: Specialists trained to diagnose and treat all scrotal conditions
• On-Site Scrotal Ultrasound: Immediate visualization to rule out torsion or masses
• English-Friendly Service: Ideal for expats needing clear, compassionate communication
• Private and Discreet Setting: Designed with male patients' privacy in mind

Cost of Testicular Pain Evaluation in Korea

With NHIS coverage:

• Consultation: ₩5,000 – ₩20,000
• Ultrasound: ₩10,000 – ₩30,000
• Urinalysis: ₩3,000 – ₩10,000
• Total with insurance: Approx. ₩20,000 – ₩60,000

Without NHIS (out-of-pocket):

• Consultation: ₩50,000 – ₩100,000
• Ultrasound: ₩50,000 – ₩100,000
• Urinalysis & labs: ₩20,000 – ₩40,000
• Total without insurance: ₩120,000 – ₩240,000+

Surgical intervention (if needed) will involve additional costs and may require hospital referral.

What Comes Next?

Depending on the cause:

• Follow-up ultrasound or semen analysis may be ordered
• Lifestyle changes (e.g., avoiding heavy lifting, tight clothing) may be recommended
• Referral to fertility or surgical specialists if warranted
• Education and reassurance, especially in chronic or non-urgent cases



Testicular pain can be unsettling, but it’s not something to push aside. Whether it’s sudden or subtle, getting it evaluated early—especially at a clinic like Gangnam J Urology Clinic—ensures peace of mind and timely care. From fast imaging to targeted treatment, Korea’s urology specialists are equipped to help you stay safe, informed, and pain-free.