What's going on with testicle swelling and pain?

Testicular swelling and pain may be related to orchitis, epididymitis, varicocele, testicular torsion, trauma and other factors. Testicular swelling and pain can be relieved through drug treatment, surgical treatment, etc. It is recommended to seek medical treatment in time and provide symptomatic treatment after the cause is identified.

1. Orchitis

Orchitis may be related to bacterial infection, viral infection and other factors, and usually manifests as testicular swelling and pain, scrotal redness and swelling, fever and other symptoms. Ceftriaxone sodium for injection, levofloxacin tablets, amoxicillin capsules and other drugs can be used for anti-infectious treatment under the guidance of a doctor. You should stay in bed and avoid strenuous exercise during treatment.

2. Epididymitis

Epididymitis may be related to urinary tract infection, prostatitis and other factors, and usually manifests as testicular swelling and pain, scrotal swelling, difficulty urinating and other symptoms. Drugs such as doxycycline hydrochloride tablets, cefixime dispersible tablets, and ibuprofen sustained-release capsules can be used for treatment under the guidance of a doctor. You should avoid sitting for long periods of time and keep your perineum clean and dry.

3. Varicocele

Varicocele may be related to factors such as venous valve insufficiency and obstruction of venous return. It usually presents with symptoms such as testicular swelling and pain, scrotal swelling, and aggravation when standing. Mild patients can relieve symptoms by wearing tight underwear, while severe patients may require laparoscopic high spermatic vein ligation and other surgical treatments.

4. Testicular torsion

Testicular torsion may be related to factors such as excessive testicular mesentery and strenuous exercise. It usually presents with symptoms such as sudden severe testicular pain, scrotal swelling, nausea and vomiting. Testicular torsion is an emergency and requires surgical reduction and fixation within 6 hours, otherwise testicular necrosis may occur. Seek medical attention immediately if symptoms occur.

5. Trauma

Testicular trauma may be related to factors such as impact and sports injuries, and usually manifests as testicular swelling and pain, scrotal hematoma, difficulty walking and other symptoms. Minor trauma can be relieved by cold compress and bed rest. Severe trauma such as testicular rupture requires emergency surgery. After an injury, you should avoid strenuous activities and wear loose clothing.

Patients with testicular swelling and pain should pay attention to rest and avoid strenuous exercise and prolonged standing. Eat a light diet, drink plenty of water to promote metabolism, and avoid spicy and irritating foods. Wear loose, breathable cotton underwear to keep the perineum clean and dry. If the symptoms persist or worsen, you should go to the urology department in time and complete ultrasound and other examinations to confirm the diagnosis. Avoid self-medication or delaying treatment to avoid affecting fertility.