What causes right testicle enlargement and pain?

The testicle is a very sensitive part of men, so it is necessary to pay attention to the testicle. If a patient has a swollen and painful right testicle, what is the general cause? This is something many people don’t know, because there are many types and causes. So what are the causes of swollen and painful testicles? How should it be treated?

1. Redness and swelling behind the “diamond” – epididymitis

Causes and consequences: The epididymis is located around the posterior edge of the testicles, where sperm is temporarily stored after production. Epididymitis is common in people around 30 years old, mostly due to bacterial infection of the urinary tract that has not healed, causing the bacteria to enter the epididymis through the lumen of the vas deferens. It often occurs with posterior urethritis, prostatitis, seminal vesiculitis, etc. The site can be unilateral or bilateral, and the onset time can be acute or slow.

Examination: The entire scrotum is red, swollen, hot and painful, sensitive to touch, and burning when urinating. The scrotum is painful when it is still, but the symptoms are relieved when lying on your back.

Treatment: Prescribe antibiotics to relieve acute pain. Then apply cold compresses to the testicles and raise them up with rolled-up socks or medical gauze underneath. If you don't know how to put them on yourself, wear a pair of fixed briefs - it can also reduce the discomfort and swelling of the spermatic cord. To prevent recurrence: Although men are much less likely to get urinary tract infections than women, when they occur, the consequences can be serious. If you already have a burning sensation when you urinate, you must see a doctor immediately.

2. Bacteria erode the "diamond" - Causes and consequences of orchitis: mostly caused by direct spread of epididymitis to the testicles, caused by bacteria. Acute orchitis in children is usually caused by the mumps virus.

Examination: Similar to epididymitis, but the testicular redness and heat are not so obvious and strong. You can clearly see that one or both testicles are enlarged and painful to press. The scrotal skin is also obviously red and swollen, and it feels hot to the touch.

Treatment: Since severe orchitis can cause loss of fertility, doctors will use antibiotics in addition to painkillers. Cold compresses should also be applied to the testicles. If doctors do not treat the acute stage properly, bacterial orchitis can form an abscess or develop into chronic orchitis. To prevent recurrence: Children can be vaccinated against mumps.

3. "A few bugs have drilled into the scrotum" - Varicose vein

Causes and consequences: Varicose veins occur in 10% of men aged 30 to 40. 90% of cases occur on the left side, due to blood congestion in the spermatic vein, which causes the venous plexus to dilate, become tortuous, and become longer. Varicose veins can also be caused by kidney tumors. Varicose veins deserve attention because they may be accompanied by testicular atrophy and sperm production disorders, leading to infertility.

Examination: You may feel a dull pain, like a small bag of worms has burrowed into your scrotum, or you may not feel anything at all. But when you stand up, you can see or feel the varicose veins in the spermatic cord. If you puff up your belly and increase abdominal pressure, you can see that the varicose veins are more severe. A few people will also have neurasthenia. In more serious cases, there will be scrotal swelling and pain, and back pain after standing for a long time, but lying down and resting can relieve it.

Treatment: Varicose veins can be detected through special examination methods, such as ultrasound diagnosis and infrared contact scrotal temperature measurement. The doctor will determine whether your symptoms require treatment. At this time, either inject drugs to close it or tie it up to block and seal the blood vessels. This is a minor operation that requires anesthesia and takes about 30 minutes. To prevent recurrence: Since varicocele is a type of venous tumor, as long as new venous tumors appear repeatedly in the body, new varicocele may appear.

In the above introduction, in fact, the introduction to the symptoms of enlarged and painful testicles is not just the content involved above. It still has certain causes in many areas. So for different reasons, that is, different disease factors, some symptoms will appear. Although most of them are a bit similar, they are also similar. Patients need to observe more and should try their best to prescribe the right medicine.