Pain in one or both of the testicles can be caused by a bacterial or viral infection, an injury, a hernia, or a twisted testicular sac (testicular torsion), cysts, cancer, or a condition called hydrocele.
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Some of these conditions are very serious, so if you are experiencing pain in the testicles, seek emergency medical care. Even if there is no pain accompanying any of these scrotal masses or conditions, it is important to get examined (and treated if necessary) by a doctor to rule out cancer or to avoid complications of regular testicular function.