What is this hard ball inside my scrotum?

The scrotum is located in the male reproductive area. If there is a problem with the scrotum, it will easily affect the health of the body and the health of the genitals. The appearance of hard balls on the scrotum is also a relatively common situation. Generally, this may be caused by orchitis or testicular cysts and other diseases, which will easily affect the health of the body. It is necessary to do a detailed examination and treatment in time, and pay more attention to observe changes in normal times.

This condition is more common in testicular cysts, testicular stones, testicular tumors, etc., as well as epididymitis. Epididymitis is more common in young men. The infection is mostly spread from prostatitis and seminal vesiculitis along the vas deferens to the epididymis. The main acute manifestations are high fever, increased white blood cell count, swelling and pain in the affected side of the scrotum, a feeling of heaviness, pulling pain in the lower abdomen and groin, which worsens when standing or walking.

Causes

Among male genital stones, testicular stones are rare, because most stones in the male reproductive system are secondary to urinary stones, such as kidney stones. Testicular stones are mostly caused by the spread of stones in the prostate, seminal vesicles, vas deferens, and epididymis.

The main clinical manifestations of testicular stones, in addition to the general symptoms of stone poisoning, general fatigue, and low fever, are mild local testicular pain and a feeling of dropping. It is difficult to diagnose in the early stage. A small number of acute onset cases are often accompanied by epididymal stones. It can be manifested as enlarged testicles, obvious pain, slightly hard and smooth texture, sometimes accompanied by thickening of the vas deferens, nodules can be touched, or beaded, etc. When combined with testicular hydrocele, the testicles can be touched to have a cystic feeling and obvious enlargement. When there are prostate and seminal vesicle stones at the same time, the patient may have frequent urination, urgency, pain, low libido, impotence, spermatorrhea, premature ejaculation, hematospermia, etc.

Examination and diagnosis

1. Rectal digital examination: Multiple hard, smooth stones or a stone-like friction sensation can be felt on the outer upper edge of the prostate. The seminal vesicle becomes hard and tender.

2. X-rays may reveal stone shadows in the seminal vesicle.

The treatment of testicular stones should also follow a regular anti-stone treatment program. Early detection and early diagnosis are the key to successful treatment. In the early stage, testicular enlargement, dull pain or mild tenderness, weak erection, and premature ejaculation may occur. Systemic symptoms are not very obvious or may include mild fatigue. The diagnosis of testicular stones mainly relies on symptoms, signs, blood tests, and other local examinations. In the later stage, due to the formation of caseous necrosis and cold abscesses caused by testicular stones, sinus ducts are formed after rupture, and they do not heal for a long time, surgical treatment is required. Total or partial orchiectomy is the root cause of organic impotence.

The dangers of testicular stones

Testicular stones are similar to stones in other organs. The pathological changes are caseous changes, cavitation and fibrosis. This causes the destruction of the testicular structure, damage to the testicular interstitial cells, and the function of the interstitial cells to secrete male hormones will decrease, and even cause testicular atrophy. This leads to low male sexual function and sexual dysfunction such as impotence, premature ejaculation and ejaculation pain. Since this disease belongs to the pathogenesis of chronic wasting diseases, the disease significantly increases the psychological pressure on patients. The mental burden will reduce the patient's sexual desire, sexual function decline and aggravate impotence.