One testicle is swollen and painful, and they are of different sizes and very hard. How should it be handled?

Patient's question:

Congenital testicular malformation, I've been married for several years and have never been able to get pregnant. Later, when I wanted a child, I went to the hospital for a check-up. The doctor said the infertility was caused by the testicular malformation. Is my condition very serious? What should I do if one testicle is swollen, of different sizes, and very hard?

Doctor's answer:

In your case, it is necessary to rule out inguinal hernia, which is caused by abdominal organs and tissues passing through weak points in the abdominal wall into the scrotum. It is usually recurrent and may lead to strangulation in later stages. If the small intestine is strangulated, it can be life-threatening.
Recommendation: It is recommended that you undergo a color Doppler ultrasound of the perineum to identify the cause. If it is a hernia, minimally invasive surgery is generally used for treatment. Early diagnosis is important to prevent recurrence and adhesion.
Prostate-related diseases tend to recur, requiring long-term medication. For male patients, it is crucial to seek treatment at a professional and reputable hospital. Treatment should be considered based on examination results. Additionally, proper diet and abstinence from sexual activity are important. Finally, we wish all patients a speedy recovery.

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