If you are not careful, testicular puncture as a treatment method will bring many sequelae to your body, and even induce serious diseases, such as varicocele. Once the symptoms of this disease appear, it will have a great impact on the sexual function of male friends. Sometimes it may even cause men to be unable to reproduce normally. Treatment becomes very difficult and must be treated in the early stages. 1. Induce serious diseases, such as varicocele, synovitis, prostatitis, endocrine diseases, nephritis and other kidney diseases, urinary tract infections, malignant tumors, etc. 2. Leading to a decline in male sexual function or even complete loss of sexual function. 3. It causes dead sperm, azoospermia, loss of fertility, and transmits inflammatory bacteria to the spouse, causing gynecological diseases. 4. Testicular diseases cannot be cured after long-term treatment. 1. High fever and chills. 2. Testicular pain, with radiating pain in the scrotum, thigh and groin areas. 3. The diseased testicles are swollen and tender. If purulent, there is a fluctuating feeling of purulent accumulation upon palpation. 4. Often accompanied by scrotal skin redness and swelling and intrascrotal hydrocele. 4. Children with viral orchitis may sometimes experience parotid gland enlargement and pain. 1. Testicular self-examination Relax the scrotum so that you can feel for lumps and abnormalities. During the examination, stand on both feet and feel for lumps or other abnormalities. Normal testicles are oval in shape, smooth in surface, and of medium hardness. 2. Local inspection After bilateral scrotal masses are detected, benign and malignant lesions can be roughly distinguished. After a testicular tumor is suspected, a local puncture biopsy of the testicular tumor is not suitable because it is more likely to cause tumor metastasis. The nature of the testicular tumor must be confirmed by the pathological report after surgery. 3. Ultrasound examination It can more accurately measure the size and shape of the testicles and whether there is a tumor. Patients with cryptic testicles can understand the development of the testicles and whether they are enlarged or malignant. 4. Blood test If the tumor markers human chorionic gonadotropin (HCG, normal value <5 micrograms/liter) and alpha-fetoprotein (AFP normal value <25 micrograms/liter) are above normal values, further examination should be performed. 5. Chest X-ray This may include an fluoroscopy or chest X-ray. 6.Computed tomography (CT) and magnetic resonance imaging (MRI) It can more accurately understand whether there is retroperitoneal metastasis, which is especially helpful for patients who have not yet undergone cryptic testicular removal and may have already developed malignant changes. 1. Bacterial orchitis Rest in bed, lift the scrotum, and apply local hot compress. If the scrotal skin is obviously swollen, apply 50% magnesium sulfate solution for hot compress to help the inflammation subside. If the pain is severe and the painkillers are not effective, the spermatic cord on the affected side can be closed. Systemic medication should be broad-spectrum or Gram-negative antibiotics, such as penicillin, gentamicin, and various cephalosporins. 2. Chronic nonspecific orchitis Bilateral chronic orchitis can often cause infertility. Treatment is mainly aimed at the cause of chronic orchitis. 3. Mumps orchitis (1) Antibiotics are ineffective for this disease, so symptomatic treatment is the main approach. (2) The use of adrenocortical hormones has a clear therapeutic effect on patients in the recovery stage. (3) 1% lidocaine low spermatic cord closure can improve testicular blood flow and protect spermatogenesis. (4) In addition to being effective in treating acute mumps orchitis, interferon also has a significant effect in preventing testicular atrophy. 4. Treatment of testicular pain Symptomatic treatment should be carried out on the basis of determining the cause. If the cause cannot be found for the time being, symptomatic treatment such as sedation and analgesia can be used. If necessary, spermatic cord procaine closure therapy can be used. |
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