What is the reason for swelling and pain in the left testicle?

The swelling and pain of the left testicle may be caused by varicocele, epididymitis, testicular torsion, testicular trauma, urinary system stones, etc., and can be relieved by drug treatment, physical therapy, surgical treatment, etc. It is recommended to seek medical treatment promptly for a clear diagnosis.

1. Varicocele

Varicocele is a common cause of testicular swelling and pain, which may be related to venous valve insufficiency or increased abdominal pressure. Patients often experience swelling in the scrotum when standing, which is relieved after lying down. Intravenous active drugs such as diosmin tablets and Maizhiling tablets can be used as directed by the doctor to improve circulation. In severe cases, high spermatic vein ligation is required. You should avoid standing and sitting for long periods of time and wear loose underwear.

2. Epididymitis

Inflammation of the epididymis caused by bacterial infection can cause swelling and pain in the affected testicle, which may be accompanied by symptoms such as fever and frequent urination. Antibiotics such as levofloxacin tablets and cefixime dispersible tablets need to be used for treatment. In the acute stage, scrotal elevation and local cold compress can be used. If an abscess forms, surgical drainage is required. During the treatment period, sexual intercourse is prohibited and drinking plenty of water is recommended to promote metabolism.

3. Testicular torsion

Sudden severe testicular pain accompanied by nausea and vomiting requires vigilance for testicular torsion, which is a urological emergency. Within 6 hours of onset of the disease, manual reduction can be used to try to restore the blood supply. If it exceeds 6 hours, emergency surgical exploration and fixation are required. Delay in treatment may lead to testicular necrosis. Teenagers who experience sudden pain after strenuous exercise should seek medical attention immediately.

4. Testicular trauma

Impact injuries or sports injuries can lead to testicular hematoma or rupture of the tunica albuginea, manifesting as persistent pain and scrotal bruising. Mild injuries can be treated with cold compresses and ibuprofen sustained-release capsules for pain relief. Severe hematomas require surgical removal. Do not use hot compresses within 48 hours after injury, and avoid strenuous exercise during the recovery period.

5. Urinary system stones

Radiating pain from lower ureteral stones can manifest as swelling and pain in the testicular area, often accompanied by waist and abdominal cramps and hematuria. Stone discharge particles can be used to promote stone discharge. When the pain is severe, diclofenac sodium suppository can be used to insert it into the anus. Extracorporeal shock wave lithotripsy is required for stones over 6 mm in diameter. The daily water intake should be more than 2000 ml.

You should keep your perineum clean and dry every day, and avoid riding or sitting for long periods of time. The diet should be light and limit the intake of spicy foods. Regularly self-examine the shape of the testicles. If you find a lump or persistent pain for more than 3 days, you should promptly seek medical advice from a urology department. Acute severe pain or accompanied by fever or hematuria requires emergency treatment. Do not take painkillers to cover up the condition.