What is the reason for testicular swelling in the elderly?

Patient's question:

I felt uncomfortable with my testicles a few days ago, a bit swollen and painful. I thought it was because my underwear was too tight, so I switched to a looser pair. Today, I feel more painful than the past two days, and my scrotum is very red and hurts when touched. The testicles are also swollen. What's going on?

Doctor's answer:

When diagnosing a testicular cyst, it is essential to consider the possibility of other conditions such as epididymal tuberculosis, testicular tumors, epididymal tumors, hydrocele, or varicocele, which can also present as masses. If the cyst is diagnosed as small in size and without other symptoms, treatment may not be necessary. However, if the cyst is large, accompanied by other complications, or has caused physiological dysfunction, surgical treatment can be considered based on the specific circumstances. The condition of testicular enlargement tends to be recurrent, requiring long-term medication for management.

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