Testicular tenderness can be due to a cyst, hydrocele, varicocele, cancer or infection.
Urine tests to rule out infection should be done.
However, a testicular ultrasound would be the most revealing test, and would evaluate for the aforementioned conditions.
Most cases of testicular swelling are benign and treatable, however cancer does need to be ruled out. Hence, the recommendation for an ultrasound.
This option can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
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