Patient's question:
Around 30 years ago, I went to the countryside and the heating stove wasn't lit in winter. I slept there for the night. Since then, whenever it gets cold, my testicles have been swollen, painful, and heavy. The surrounding area also hurts. What should I do about the swollen, painful, and heavy testicles?Doctor's answer:
The testis has a high degree of mobility within the scrotum and is protected by a tough white membrane, making it less likely to suffer closed injuries. Most testicular injuries are associated with violence, car accidents, and similar causes. After injury, the testis may experience severe pain accompanied by nausea, vomiting, or even fainting or shock. Physical examination may reveal testicular swelling, indistinct contours, or scrotal hematoma, with significant tenderness. Ultrasound and CT not only aid in the diagnosis of this condition but also help determine the location and extent of testicular injury. The principle of treating testicular injury is primarily to provide sedation, pain relief, and shock management, followed by assessing the severity of the injury based on physical examination findings, ultrasound or CT images, and measured levels of testosterone, LH, and FSH to determine appropriate treatment measures.