Urology of Greater Atlanta

Lower Back and Testicle Pain

Lower back pain is a common problem that many men face. However, when men experience lower back pain accompanied by pain in the testicles, it may mean that there is an underlying condition that may require treatment.

The expert urologists at Urology of Greater Atlanta offer accurate diagnoses and tailor-made treatment plans for those experiencing lower back and testicle pain. Call or book an appointment now.

What Are the Causes of Lower Back and Testicle Pain?

There are several chronic conditions that can cause back pain along with pain in the testicles. Some of the conditions associated with back and testicular pain are listed below.

  1. Epididymal Cysts
  2. Epididymitis
  3. Inguinal hernia
  4. Orchitis (inflammation of the testicles due to a viral or bacterial infection)
  5. Testicular torsion (twisted testicles)
  6. Urinary tract infection (UTI)
  7. Diabetic Neuropathy (nerve damage caused by diabetes)
  8. Spinal Nerve Damage
  9. Kidney stones
  10. Testicular cancer

When to See a Doctor

Some men may be hesitant to seek medical attention if the back and testicular pain they experience is a dull ache, a tingling, or only lasts for a short period of time.

These symptoms may even improve when a person is sitting or leaning forward. However, symptoms like sudden and severe testicular pain shouldn’t be ignored.

It is important to seek medical advice if the pain occurs along with other symptoms such as the following:

  • numbness or tingling in the back, buttocks, or legs
  • fever and chills
  • blood in the urine
  • nausea and vomiting
  • severe pain in the sides, back, lower abdomen, or groin area
  • pain or difficulty urinating
  • a feeling of weakness in the legs when standing or walking
  • stiffness or tenderness in the back
  • pain or difficulty urinating

What Are the Symptoms of Testicular Cancer?

In rare cases, lower back pain along with chronic testicular pain may be a sign of testicular cancer.

Some additional symptoms that may indicate testicular cancer are the following:

  • a lump in the testicle or testicular swelling
  • pain in the abdominal wall
  • headaches or confusion
  • breathing difficulties and chest pain
  • chronic scrotal pain or feeling of heaviness in the scrotum
  • a sudden collection of fluid in the scrotum

If these symptoms persist longer than two weeks, seek immediate medical attention.

How Is Testicular Cancer Diagnosed?

Diagnosing testicular cancer can be complicated and requires several different diagnostic tests.

Some of the tests required to diagnose testicular cancer include the following:

  • A physical examination
  • Blood tests
  • X-rays of the spine
  • Ultrasound
  • CT scan of the spine

What Is the Treatment for Testicular Cancer?

Treatment will vary depending on the type and stage of testicular cancer a patient has at the time of the doctor’s diagnosis.

Treatment options for testicular cancer may include:

  • surgery
  • chemotherapy
  • radiation therapy


If you have concerns about pain in your lower back and testicles and would like to know about the available treatment options, then make an appointment to speak to one of the urologists at Urology of Greater Atlanta. Call or book an appointment now.

Frequently Asked Questions

Can a pinched nerve in the back cause testicle pain?

Yes. If spinal nerves are pinched, it can cause either a radiating or sharp pain in the testicle on the same side of the compressed nerve.

What is lumbar spondylolisthesis?

Lumbar spondylolisthesis is when one of the vertebrae in the lower part of the spine (lumbar spine) slips out of place.

This condition is usually caused by repetitive strain on the spine, injuries, or general wear and tear as a person gets older.

Lumbar spondylolisthesis may cause lower back pain if the slipped vertebra places pressure on one of the spinal nerves. This pain can sometimes radiate down to the legs or testicles. 

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