The swelling and pain above the testicles may be caused by orchitis, acute epididymitis, varicocele and so on. 1. Testiculitis: When there are diseases such as urethritis or cystitis, the bacteria can spread to the testicles and induce testicular inflammation, and the repeated stimulation of this area by inflammation can make the patient have the symptom of swelling and pain above the testicles. 2. Acute epididymitis: when the epididymis is infected by bacteria or when unclean sex occurs, it may lead to infection of various pathogens and induce acute epididymitis. This disease will lead to obvious swelling and pain above the testicles, and the pain symptoms will continue to worsen if left untreated. 3. Varicose veins of the spermatic cord: when male patients develop venous valve insufficiency or reflux obstruction, varicose veins of the spermatic cord can be induced. When the disease is serious, the patient’s scrotum may appear to increase in size and swelling and other manifestations, which may also cause swelling and pain above the testicles. The swelling and pain above the testicles may also be caused by other reasons, such as testicular syringomyelia, testicular tumors, etc., should go to the hospital in time to clarify the cause of the disease, and choose the appropriate method of treatment.