Testicular pain with an inguinal hernia can occur for several reasons: Nerve Compression: An inguinal hernia can compress or irritate the nerves in the groin area, such as the ilioinguinal nerve, which can lead to pain that radiates to the testicles. Hernia Sac Pressure: The hernia sac itself can press against structures in the inguinal canal, including the spermatic cord, which contains nerves and blood vessels that supply the testicles. This pressure can cause testicular pain. Inflammation: Th
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