Patient's question:
There is a small lump below the left testicle, and there is a heavy pain in the legs and waist.Doctor's answer:
Hello, based on your description, it cannot be ruled out that conditions such as orchitis and epididymitis may be present. These are often caused by bacterial infection of the testicles. The main route of infection is retrograde infection, commonly occurring in patients with lower urinary tract infections, prostatitis, post-urethral surgery, or those with long-term indwelling catheters, leading to epididymitis and orchitis. It can also spread hematogenously to the testicles, causing isolated orchitis. The causative pathogens are often Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa, among others.Clinical symptoms typically include unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin may become red and swollen, with the testicles and epididymis swollen and tender. Hydrocele may also be present. Treatment requires selecting medications based on bacterial culture and sensitivity tests, primarily using antibiotics. Additionally, bed rest and scrotal elevation should be maintained to alleviate symptoms. Sexual activity and physical exertion should be avoided. Early cold compresses can help prevent swelling, while later hot compresses may be used to accelerate inflammation resolution.