Is it atrophy if one side of the testicles is sometimes hard and sometimes soft?

Patient's question:

Is one side of the testicles sometimes hard and sometimes soft, is it swelling? After swelling, will the voice change? There is also a feeling of fullness. Will I need to have my testicles removed in this situation?

Doctor's answer:

First, how do you have long-term sexual intercourse? Do you experience pain or discomfort? How do you maintain long-term penile erection? Frequent urination and urgency sensation? Excluding conditions like epididymitis or varicocele, it may be possible. It is recommended to improve scrotal ultrasound examination to prevent long-term penile erection from causing blood congestion. Currently, testicular atrophy is not possible. Testicular removal is not necessary, as the condition is prone to recurrence, requiring long-term medication. Moreover, for male patients, it is crucial to seek immediate medical attention at a professional and reputable hospital. Treatment should be considered based on examination results.

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