Testicular pain accompanied by thigh pain?

Patient's question:

Time, mainly testicular pain accompanied by thigh pain, does not hurt at night when sleeping, does not hurt during daytime exercise, but hurts when not exercising. Past treatment and effectiveness: Took some antibiotics. What kind of help do you want: Hope to know what the cause is.

Doctor's answer:

Varicocele, in addition to affecting sperm production, may also cause testicular pain, scrotal heaviness or discomfort, and lower back pain. Testicular pain is likely caused by varicocele, but it could also be due to epididymitis or testicular torsion. However, testicular torsion is usually accompanied by severe and persistent pain, often preceded by intense physical activity. If you have concerns, it is recommended to visit the emergency department or urology department at a local hospital for a scrotal and bilateral spermatic cord ultrasound to further diagnose whether it is epididymitis or testicular torsion. If the latter is the case, the condition is more urgent!

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