Patient's question:
Hello doctor, suddenly there was swelling in my testicles this afternoon, and it became more severe by the evening, accompanied by a sense of swelling and pain, with redness on the skin. What could be the cause?Doctor's answer:
The most common benign inflammatory conditions of testicular pain are three: orchitis, varicocele, and testicular torsion. Obtain a thorough hospital examination, including color Doppler ultrasound of the testes, epididymis, and spermatic cord for diagnosis. If the ultrasound shows continuously increasing blood flow, it indicates orchitis. In this case, it is essential to rest and receive intravenous antibiotics. If the ultrasound shows increased blood flow in the testes, it indicates torsion, and surgery must be performed as soon as possible, otherwise the testis may become suppurative. If the ultrasound suggests varicocele, surgical treatment can usually be scheduled. The condition of the testis tends to be recurrent, requiring long-term medication.