What is the cause of 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 the underwear I was wearing was too tight, so I switched to a looser pair. Today, I feel more painful than the past two days, and the scrotum is very red and painful to touch. 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 lumps. 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 causes physiological dysfunction, surgical treatment can be considered based on specific circumstances. The condition of testicular enlargement tends to be recurrent, requiring long-term medication for management.

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