Multiple things: The differential diagnosis for testicular pain is very broad and can include pain referred from the groin from hernias or structural problems with the spermatic cord. Immediate pain that does not subside is an emergency. Even without swelling, a serious cause is a possibility, and testicular pain warrants an examination by a urologist, basic urine and blood tests, and a sonogram of the testicle.
Answered 9/28/2016
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