
At the London Urology Collective, we provide rapid access to specialist assessment for scrotal pain and swelling. Our consultants are experts in andrology and urology, offering accurate diagnosis, same day imaging where required, and evidence-based treatment tailored to you.
Our aim is to identify the cause and ensure any serious conditions are treated without delay
Common causes of scrotal pain and swelling
There are several possible causes, including:
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Infection such as epididymitis or epididymo orchitis
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Testicular torsion
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Hydrocele, which is a fluid collection around the testicle
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Varicocele, a swelling of veins within the scrotum
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Inguinal hernia
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Benign cysts or lumps
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Trauma or injury
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Testicular cancer
Most conditions are treatable, especially when assessed early by a specialist.
What to expect
Your consultation will involve a thorough and discreet assessment, including:
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A detailed discussion of your symptoms and medical history
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Examination of the scrotum, testicles, and groin
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Urine test if infection is suspected
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Blood tests if indicated
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Scrotal ultrasound to assess blood flow and identify underlying causes
Investigations are arranged promptly to avoid delays in diagnosis.
Common causes of scrotal pain and swelling
There are several possible causes, including:
-
Infection such as epididymitis or epididymo orchitis
-
Testicular torsion
-
Hydrocele, which is a fluid collection around the testicle
-
Varicocele, a swelling of veins within the scrotum
-
Inguinal hernia
-
Benign cysts or lumps
-
Trauma or injury
-
Testicular cancer
Most conditions are treatable, especially when assessed early by a specialist.
Treatment options
Treatment will depend on the diagnosis and may include:
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Antibiotics for infection
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Pain relief and anti inflammatory medication
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Supportive measures such as rest and scrotal support
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Minor or day case surgery for conditions such as hydrocele or varicocele
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Urgent surgery if testicular torsion is diagnosed
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Fast track referral and specialist care if cancer is suspected
We will explain your diagnosis clearly, outline all available options, and support you in making informed decisions about your care.

Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations

When to Seek Specialist Advice
You should seek specialist advice if you experience:
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Persistent or worsening discomfort
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Swelling or a noticeable lump in the testicle or scrotum
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A reduction in testicular size
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Pain in the testicles associated with fever, urinary symptoms, or feeling unwell
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Recent injury to the groin or scrotum
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Sudden or severe testicular pain
Severe or sudden pain should ideally be seen immediately, ideally at your nearest A&E department, as it may indicate testicular torsion, a time sensitive condition that requires immediate treatment
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
