Patient's question:
In cold weather, especially during winter, I often feel scrotal swelling, and my sexual stamina is also short. Sometimes, I climax quickly upon excitement—it's very short and comes very fast. I've noticed my glans is particularly red and sensitive. When I hold my penis, I get sexual urges, and sometimes I struggle to control myself. I used to have experience with masturbation and am now gradually trying to quit. Sometimes, I also feel like I can't urinate. Please advise—am I experiencing premature ejaculation? Should I take any medication? ~~Thank you.Doctor's answer:
Orchitis refers to a pathological swelling of the scrotal wall, testicles, or spermatic cord, which is caused by acute or chronic inflammation, parasitic invasion, trauma, tumors, or other factors. This condition may involve increased inflammatory exudation, often accompanied by local redness, swelling, fever, a sense of heaviness or fullness, and pain. In later stages, secondary infections may lead to symptoms such as eczema, ulcers, and urinary discomfort.The scrotum is located in a narrow area at the base of the thighs, where the temperature is relatively high and the environment is somewhat enclosed. This makes it prone to bacterial growth and infections that can cause various skin conditions, such as scrotal itching, scrotal eczema, neurodermatitis, and scabies. Therefore, it is important to maintain good personal hygiene habits. Underwear should be loose-fitting, changed frequently, and preferably made of breathable, moisture-wicking cotton.