Pimples on the testicles can affect spermatogenesis, reduce the quality of male sperm, and lead to male reproductive dysfunction. Pimples on the testicles are a pathological condition, and the cause can be epididymitis, orchitis, or scrotal eczema. Some patients with condyloma acuminatum can also develop pimples on the testicles. Pimples on the testicles may also be testicular tumors. A careful examination should be performed, such as a testicular biopsy or a testicular self-examination. Testicular biopsy can reveal dilation of seminiferous tubules with shedding of spermatogenic epithelium, with most or all of the tubular lumens filled with shedding spermatogenic cells, and the tubular lumens disappearing, often accompanied by varying degrees of changes in the limiting membrane and small blood vessels. Spermatogenesis blockage or maturation disorder can also be found, with the spermatogenesis process often blocked at the spermatocyte or spermatid stage, often accompanied by changes in spermatogenic cells, limiting membranes and blood vessels, which is an abnormal differentiation of the spermatogenesis process. Testicular biopsy can reveal extensive hyalinization, atrophy, and stenosis of the hyalinized seminiferous tubules. In severe cases, they become "phantom tubules" often accompanied by extensive fibrosis and vascular hyalinization. This is a manifestation of autoimmune reaction, which may be caused by non-specific inflammation, viral mumps combined with orchitis, drug effects, or may be the result of unknown causes or other pathological damage. Testicular self-examination: If the testicles are abnormally pea- or pigeon-sized and painless, they may indicate testicular cancer. Patients with azoospermia, testicular cancer, hydrocele or indirect hernia should actively undergo testicular biopsy and testicular self-examination. Before the examination, it is important to note that any local tension will cause the scrotum to shrink, affecting the examination. When the scrotum skin is relaxed, the examination is easier and more accurate. It is best for the patient to clean before the consultation. Requirements for the examination: It is generally not recommended to wear gloves during the examination, because wearing gloves will make it difficult to feel accurately. If you do a testicular self-examination, you can use your fingers to gently move the testicles to feel whether the small bumps on the testicles are painful and whether the testicles are atrophied. If they are painful to touch, it means that you are very likely to have orchitis. If the scrotal volume increases, it indicates that there may be hydrocele. If the testicular bumps are not painful to touch, but the nearby tissues are painful, it indicates that you are likely to have testicular cancer. |
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