Chronic Testicular Pain and Chronic Orchialgia

Testicular pain that interferes with your daily life should be promptly treated by a board-certified urologist. If you’re struggling with testicular pain, you have many different treatment options to achieve relief.

Dr. Justin Houman is one of the nation’s leading experts in the diagnosis and treatment of chronic testicular pain and orchialgia. A Board-Certified Urologist and Fellowship-Trained Men’s Sexual and Reproductive Health Specialist at Cedars-Sinai Medical Center, Dr. Houman also serves as an Assistant Professor of Urology and is one of only a select number of urologists in the country with specialized fellowship training dedicated to male sexual and reproductive health. His practice has been formally designated a Center of Excellence for Testicular Pain and Orchialgia, attracting referrals from across the United States for his advanced expertise.

With extensive surgical experience, Dr. Houman has performed over 1,000 microsurgical spermatic cord denervations and thousands of other microsurgical procedures, establishing a track record that few can match. Unlike many urologists who default to either radical surgery or telling patients to “live with it,” Dr. Houman is recognized for providing innovative, nerve-sparing solutions that preserve fertility and sexual function while delivering lasting pain relief. His outcomes set a national benchmark, with meaningful improvement in more than 95% of patients and complete resolution of pain in over 85%.

Dr. Houman’s approach is grounded in a meticulous, stepwise protocol designed to uncover the true cause of pain before considering surgery. He begins with a thorough history and physical exam, followed by targeted imaging and diagnostic nerve blocks. When needed, he incorporates advanced microsurgical testing to precisely localize pain pathways, ensuring that treatment is tailored to each patient’s unique situation. By combining this systematic process with the latest high-definition operating microscopes and Doppler-assisted microsurgical techniques, Dr. Houman is able to shorten recovery, reduce recurrence, and deliver highly personalized care to men seeking a definitive solution.

What is Chronic Testicular Pain (Chronic Orchialgia)?

Chronic testicular pain, also known as chronic orchialgia, chronic scrotal pain (CSCP), or testicular pain syndrome, is defined as persistent pain in one or both testicles lasting longer than three months. It can significantly affect a man’s quality of life, making everyday activities uncomfortable.

If you’re struggling with constant testicular pain, post-vasectomy pain syndrome, or unexplained scrotal discomfort, Dr. Justin Houman, a board-certified men’s health urologist in Los Angeles, specializes in advanced diagnosis and treatment options to help you find lasting relief.

Common Causes of Chronic Testicular Pain

• Nerve Damage (Neuropathic Pain) – Can occur after injury, surgery, or prolonged compression of nerves in the groin.
• Post-Vasectomy Pain Syndrome (PVPS) – A condition where men experience persistent scrotal pain after a vasectomy.
• Inguinal Hernia or Hernia Repair – Scarring from surgery can irritate the nerves leading to testalgia.
• Epididymitis or Infection – Chronic bacterial or non-bacterial inflammation of the epididymis.
• Varicocele – Enlarged veins in the scrotum causing discomfort.
• Hydrocele or Spermatocele – Fluid-filled cysts that can cause pressure-related pain.
• Pelvic Floor Dysfunction – Muscle tension or spasms can lead to referred pain in the testicles.
• Unidentified Causes – In some cases, chronic testicular pain occurs without an obvious underlying reason.

Regardless of the cause, Dr. Houman uses a personalized approach to diagnose and treat your chronic testicular pain effectively.

What are the Symptoms of Chronic

Testicular Pain & Orchialgia

Men with chronic testicular pain and orchialgia or testicular pain syndrome may experience:

• Constant or intermittent testicular pain
• Sharp, aching, or throbbing discomfort in the scrotum
• Pain that worsens with sitting, standing, or physical activity
• Tenderness or hypersensitivity in the groin or testicles
• Pain after a vasectomy (Post-Vasectomy Pain Syndrome – PVPS)

If these symptoms have persisted for over three months, it’s time to see a chronic testicular pain specialist in Los Angeles.

Chronic Testicular Pain Treatment

Dr. Houman offers evidence-based, customized treatments for chronic testicular pain, chronic scrotal content pain (CSCP), and testicular pain syndrome.

1. Nerve Block & Pain Management Therapy

• Spermatic Cord Blocks – Injected anesthetic to reduce nerve-related pain.
• Pelvic Floor Therapy – Reduces muscle tension contributing to scrotal discomfort.

2. Medication-Based Therapies

• Anti-Inflammatory Medications – NSAIDs or corticosteroids for inflammation-related pain.
• Neuropathic Pain Medications – Gabapentin or amitriptyline for nerve-related discomfort.

3. Non-Surgical Treatments

• Physical Therapy & Pelvic Floor Rehabilitation – Effective for muscle-related testicular pain.
• Acupuncture & Shockwave Therapy – Alternative therapies to relieve nerve sensitivity.

4. Surgical Solutions (If Needed)

• Microdenervation of the Spermatic Cord (MDSC) – A minimally invasive nerve surgery to eliminate pain.
• Robotic Microdenervation of the Spermatic Cord – A minimally invasive, robotic approach to eliminate pain.
• Varicocele Repair – If a varicocele is causing discomfort, surgery may help.
• Vasectomy Reversal (for Post-Vasectomy Pain Syndrome – PVPS) – Can alleviate chronic scrotal pain after vasectomy.

Can Sitting for Long Periods Cause Chronic Testicular Pain?

When you sit down, your testicles are compressed against your body, which can cause pain and discomfort. This is especially true if you are sitting in a chair that is too small or too hard. Sitting for long periods of time can also cause your testicles to become overheated, which can lead to pain and discomfort.

The best way to prevent testicular pain from sitting down is to make sure you are sitting in a comfortable chair that is the right size for your body. You should also make sure to take regular breaks from sitting down, and to stand up and move around every hour or so.

If you are experiencing testicular pain from sitting down, it is important to take steps to reduce the pain and discomfort. Taking regular breaks from sitting down, using a comfortable chair, and wearing loose-fitting clothing can all help to reduce the pain. If the pain persists, it is important to see a doctor to determine the cause and to get the appropriate treatment.

Why Choose Dr. Justin Houman for Chronic Testicular Pain Treatment?

• Board-Certified Urologist Specializing in Men’s Health
• Expert in Chronic Orchialgia, Testalgia & Post-Vasectomy Pain Syndrome
• Minimally Invasive & Advanced Surgical Techniques
• Located in Beverly Hills, Serving All of Los Angeles

Dr. Houman’s multidisciplinary approach ensures the best possible outcomes for men suffering from chronic scrotal pain.

Frequently Asked Questions (FAQs) About Chronic Testicular Pain & Chronic Orchialgia

1. When should I see a doctor for testicular pain?

You should see a urologist specializing in chronic testicular pain if:

• Your pain has lasted more than three months.
• The pain worsens with activity, sitting, or after a vasectomy.
• You experience swelling, tenderness, or changes in testicle size.

2. What is Post-Vasectomy Pain Syndrome (PVPS)?

PVPS is chronic scrotal pain that lasts more than three months after a vasectomy. It occurs in 1-2% of men and may require nerve blocks, pain management, or vasectomy reversal to relieve symptoms.

3. What is the best treatment for chronic testicular pain?

The best treatment depends on the cause. Dr. Houman offers:

• Nerve blocks & pain management
• Physical therapy & pelvic floor rehabilitation
• Minimally invasive surgery (if needed)

4. Can chronic orchialgia go away on its own?

Some cases resolve with rest, anti-inflammatory medications, and lifestyle changes, but persistent pain lasting over three months requires evaluation by a testicular pain specialist.

Schedule an Appointment

If you’re experiencing chronic testicular pain, testicular pain syndrome, or post-vasectomy pain syndrome (PVPS), don’t wait. Get relief with expert care from Dr. Justin Houman.

To meet with Dr. Houman in Los Angeles and learn more about your treatment options, we invite you to contact our office by calling (310) 854-9898 or filling out our online form.

An expert in his field

Meet Dr. Houman

Dr. Justin Houman is a board-certified, fellowship-trained Urologist and Men’s Health specialist whose mission is to enhance men’s quality of life by improving their sexual and reproductive health. Dr. Houman’s focus is on making a difference in people’s lives through state-of-the-art, compassionate, and personally tailored care.

       

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