Abstract
Chronic testicular pain creates a significant negative impact on a patient's quality of life, which includes impaired function and desire for sexual activity. Failure to correctly identify the origin of testicular and scrotal pain and a poor response to long-term medications and invasive procedures such as orchiectomy lead to increased psychological and financial burden for the patient and medical system. Overlooked origins of testicular pain may be a result of musculoskeletal dysfunction within the thoracolumbar, thigh, pelvis, abdomen, and hip. This article describes the successful management of chronic testicular pain that interfered with sleep and sexual function of a 74-year-old man.