What is the reason for the left testicle being pushed upward when straining during a bowel movement?

Patient's question:

Age: 20 years old
Gender: Male
When squatting during a bowel movement, the left testicle protrudes forward (usually my testicles are contracted), more noticeably than the right testicle. After splitting the legs, when the scrotum is pushed, the left testicle protrudes, while the right testicle does not protrude. The left testicle, when erect, touches the base of the penis. Is the upper part of the left testicle noticeably weak?

Doctor's answer:

The forward projection of the testicles during squatting you mentioned—does this condition cause pain or a sense of heaviness? Based on my preliminary assessment, your symptoms may indicate orchitis or epididymitis, with the possibility of a concurrent inguinal hernia. During this period, it's important to carefully monitor the onset time of your symptoms and the local skin temperature. For testicular conditions, timely treatment can reduce the risk of recurrence. If left untreated, it may affect your overall health. Therefore, patients should seek timely and appropriate treatment, maintain a regular sex life in daily life, and avoid prolonged sitting.

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