Patient's question:
What should I do about testicular ptosis? I have testicular ptosis with pain and dysuria. What should I do about this kind of testicular ptosis? Do I need to have a thorough examination?Doctor's answer:
From your description, it is not possible to rule out the possibility of orchitis or epididymitis. It is mostly caused by bacterial invasion of the testes. The transmission route is primarily retrograde transmission, often occurring in patients with lower urinary tract infections, prostatitis, post-urethral surgery, and those with long-term indwelling catheters, leading to epididymo-orchitis. It can also spread hematogenously to the testes, resulting in isolated orchitis. The causative pathogens are commonly Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa. Clinical symptoms are mostly unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin becomes red and swollen, and the testes and epididymis are swollen with significant tenderness, which may be accompanied by hydrocele.