Patient's question:
Right testicle has swelling and pain, which occurs occasionally in the past one or two years. When I was young and playful, I was sitting on a skateboard, and a friend hit my right testicle with roller skates, which was quite severe. The pain lasted for about half an hour, and after the initial discomfort, it was ignored. After that, I noticed a clear sensation of distinct strands of meat or blood vessels inside the testicle when I touched it. The left one didn’t have those. The swelling sensation is what I felt on those strands of meat. The last time the swelling occurred, I had a thorough examination at the hospital, which revealed small stones near the testicle. The ultrasound test also confirmed that the testicle was normal. They prescribed me a lot of anti-inflammatory medication but didn’t perform any other treatment. Now, the swelling and pain have returned to the same level as before. At first, there was only a slight sensation, but it became more noticeable over the course of a week. This swelling has been present since 2009.Doctor's answer:
This may be caused by conditions such as orchitis or epididymitis. It is recommended to visit the urology department for a follow-up examination to identify the underlying cause and receive targeted treatment. Your condition is likely due to orchitis or epididymitis, but prostatitis cannot be ruled out. It is advised to seek further medical diagnosis in the urology department, primarily through a detailed ultrasound examination. The testicles can stabilize, but the treatment process is generally slow, and there is a high risk of recurrence after treatment. Therefore, it is crucial to actively cooperate with the doctor's medication plan during treatment. Additionally, patients should maintain a light diet, avoid foods, and refrain from smoking and drinking beer.