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  • Testicular Cysts and Pain.mp4

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One of our members asked about testicular pain and whether cysts might be the cause so I made a video to dig into it.

I start with a quick review of testicular anatomy and then move into the many factors that can contribute to pain: structural changes like cysts, but also how the immune system, nerves, muscles, and the brain all play a role. Context matters too because poop, pee, and sex are big parts of our everyday lives, and they all connect back to pelvic health.

I also talk about procedures for removing cysts. Sometimes they can help, but no surgery or procedure is risk-free. There’s always a chance that pain could stay the same or even worsen, which is why these decisions should be made carefully. The most important step is to have a thorough conversation with your providers about risks, benefits, and aftercare.

And don’t forget that pelvic physical therapy can and should be part of the care team to support healing, restore function, and keep you moving toward a better quality of life.

Disclaimer: The information shared in this post and video is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding a medical condition or before making decisions about your health.

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Testicular Cysts and Pain

Testicular Cysts and Pain

Comments

Carlos

Dr. Susie, you mentioned that it would be advisable to see a pelvic floor therapist prior to and after the cyst removal surgery. What exactly would the therapist do before and after to help with the healing process?

Dr. Susie Gronski - Doctor of Physical Therapy

It depends on the person’s situation. If pelvic therapy hasn’t yet been explored for testicular pain, I would recommend starting there before considering surgical removal or other procedures. Approaches like manual therapy, movement retraining, graded exposure to touch and loading, and pain neuroscience education can make a big difference in helping someone feel safer and rebuild trust in their body. If a procedure is done, the rehabilitation approach is similar–supporting tissue healing, restoring mobility, and gradually adapting the body to different activity demands.

Bob L

Hi Dr. Susie, I hear you discussing testicular cysts on or within the scrotum. I had a procedure to remove cyst that was on my right epididymitis. I am still having pain because there are cysts that were internal in my right teste. I tried one shot from a pain management Dr. This did nothing and didn’t want to go back while my Dr. injected me to see if it work or not…hit or miss. I’ve been see pelvic therapist for a number of issues, urine dribbling, ED, penile pain. Can pelvic therapy help with the internal cysts or do I need to find another method? Thank you for your time.