Left testicle feels hard and painful, what's the reason?

Patient's question:

For a while now, my testicles have been slightly swollen and aching. Recently, they've started to hurt, especially when touched, and it's particularly severe. It seems the other side is also somewhat swollen. I'm very worried. Could you please explain: Why is my left testicle hard and painful when touched?

Doctor's answer:

Testicular hardness and pain should first be considered as orchitis. It is caused by retrograde transmission from urinary tract infections or balanoposthitis. Second, consider conditions such as hydrocele or tumors.
Recommendation: It is advised to seek follow-up treatment at a secondary or higher-level urology department. Blood tests and scrotal ultrasound should be conducted to confirm the diagnosis. After diagnosing inflammation, quinolone antibiotics can be used. The treatment course is approximately two weeks. If hydrocele or a tumor is diagnosed, surgical treatment may be necessary.
Male urological conditions can be stabilized, but the treatment duration is generally long, and relapse is common after recovery. Therefore, active cooperation with the doctor's medication plan is essential during treatment. Additionally, patients should avoid prolonged sitting or riding and pay attention to personal hygiene. We hope male patients can recover quickly!

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