What is the reason for the red and black granules on the left testicle?

Patient's question:

30 years old, the left testicle has red and black particles for five or six years without pain or itching. It's only on the left side, not the right. I don't know if it's because of the hot and stuffy working environment in the past and not taking a bath in time, but at that time, there was no sexual activity. Because it didn't hurt or itch, I never paid attention to it. Recently, I'm getting married and don't want my girlfriend to misunderstand me about this?

Doctor's answer:

In this case, it generally requires close cooperation with a dermatologist for a thorough examination, as it is often caused by neglecting local hygiene. This condition can be treated by using laser repair surgery in coordination. Additionally, it is important to choose loose-fitting underwear for replacement. Testicular conditions tend to recur, requiring long-term medication. Moreover, for male patients, it is crucial to seek treatment at a professional and reputable hospital immediately. Treatment should be considered based on the examination results. Furthermore, proper diet and abstinence from sexual activity should be maintained.

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