Your examination: the whole scrotum is red, swollen, hot and painful, sensitive to touch and burning when urinating. The scrotum hurts when it is still, and the symptoms are relieved when it lies on its back.
Doctor's treatment: Give you some antibiotics to relieve the acute pain. Then cold compress the testicles and pad them at the same time. You can use rolled socks or medical gauze under it. If you can't put it down, you can wear a pair of fixed briefs-which can also alleviate the discomfort of spermatic cord. Prevention of recidivism: Although men are much less likely to get urinary tract infection than women, once it happens, the consequences will be very serious. If you feel burning when urinating, you must see a doctor immediately. Cause and effect: Epididymitis spreads directly to testis, which is caused by bacteria. Acute orchitis in children is usually caused by mumps virus.
Your examination: It is similar to epididymitis, but the testicular red fever is not so obvious and intense. You can clearly see one or two testicular swelling. The scrotal skin is obviously red and swollen according to the pain, and it feels hot.
Doctor's treatment: because severe orchitis will lose fertility, doctors will use antibiotics in addition to painkillers; In addition, cold compress testicles. Bacterial orchitis will form abscess or develop into chronic orchitis if it is not treated properly in the acute stage. Prevention of recidivism: Children can be vaccinated against mumps.
The harm of orchitis
1, leading to other male-induced complications, such as prostatitis, varicocele, urinary tract infection, etc.
2. Long-term treatment of orchitis directly affects men's sexual ability, reduces the quality of men's sexual life, and even makes male friends completely lose their sexual ability.
3, induce male infertility, testis is the only place to produce sperm. If men suffer from orchitis and are not treated in time, it will directly lead to problems in male sperm production, lead to abnormal male semen, such as azoospermia and azoospermia, and thus induce male infertility.
4. Men with orchitis will also bring gynecological diseases to their spouses. Because inflammation has not been cured for a long time, these inflammatory bacteria will enter the female reproductive organs during sexual life, thus infecting the female reproductive organs and inducing women to suffer from gynecological diseases. Cause and effect: the incidence of varicocele accounts for 10% of the male population aged 30~40. 90% of them will occur on the left side, which is due to the congestion of spermatic vein, which leads to the expansion, winding and elongation of venous plexus. Kidney tumors may also cause varicocele. Varicocele deserves attention because it may be accompanied by testicular atrophy's disease and spermatogenesis disorder, leading to infertility. Your examination: You may feel dull pain, just like a small bag of worms got into your scrotum, or you may feel nothing. But when standing, you can see or feel varicocele, and you can see that varicocele is heavier by bulging abdomen and increasing abdominal pressure. A few will have neurasthenia at the same time. In severe cases, scrotal swelling and low back pain will occur after standing for a long time, but lying down and resting can relieve it.
Doctor's treatment: varicocele will be found through special examination methods, such as ultrasonic diagnosis and infrared contact scrotal temperature measurement, and the doctor will judge whether your symptoms need treatment. At this time, either inject drugs to block it, or tie it up to block the blood vessels. This is a minor operation, which requires anesthesia for about 30 minutes.
Prevention of recurrence: because varicocele is a kind of venous tumor, as long as new venous tumors appear repeatedly in the body, new varicocele may appear. Cause and Result: Benign sperm cyst stays in testis or epididymis. Most swollen lumps are as big as a cube of sugar. People call it the third testicle. Fortunately, this situation is rare.
Your examination: although there will be no pain, the swelling is like a ball growing above your testicles and can be felt alone. Under the irradiation of the flashlight in the darkroom, the semen cyst sparkled.
Doctor's treatment: no treatment at all. If you insist on removing those lumps, the doctor can help you remove them. Prevention of recidivism: avoid testicular and scrotal trauma. Have sex regularly to avoid long-term sexual impulses. Cause and effect: it is caused by excess tissue water between the thin film layers of one or two testicles. Sometimes it happens after testicular injury or orchitis, but in most cases there is no reason at all.
Your examination: the scrotum is swollen and bulging, and sometimes the cyst can even reach the size of a football, but it doesn't hurt. Doctor's treatment: excess tissue water can be sucked out through a trivial anesthesia operation, and the doctor should sew up the scrotal hole where the liquid leaks. Cause and effect: when the testis is damaged, swelling and congestion will occur locally. Due to the loose scrotal skin and abundant testicular blood reflux, it is easy to cause hematoma and infection after injury. Violent exercise or sexual behavior and violence sometimes cause the levator testis to contract strongly, which makes the testis "worse". After trauma, if the blood vessels supplying testicular nutrition are seriously damaged, they will atrophy and necrosis, causing impotence or sexual dysfunction.
Your examination: If you feel severe pain after testicular trauma, you should shine a flashlight on your scrotum in a dark room. If the light can't pass through the scrotum, there is a hematoma.
Doctor's treatment: generally, you must sit down or lie down first to check whether there is ulceration or external bleeding. If the testicles on both sides are symmetrical without dislocation, they can be supported by broadband to reduce shaking and relieve pain; If you don't have broadband, you can tear up the old clothes and fix them. If there is swelling, you can use cold compress to help control internal bleeding and prevent recurrence. Even at the first moment, you may think: you will not die. But that kind of heart-wrenching pain will break out in a few minutes, making you really realize that there is something wrong. Cause and effect: If the following words are really hit by misfortune ... The testis is located in the scrotum and outside the body surface, which is the most vulnerable part for men. Closed injuries are common, such as kicking, scratching, squeezing and riding; Open injuries, such as stab wounds and gunshot wounds, rarely occur in peacetime except in wartime.
Your check: You instinctively curl up and pray that testicular pain will disappear as soon as possible. In severe cases, syncope, scrotal hematoma, unclear testicular outline, accompanied by sweating, nausea and dizziness.
Doctor's treatment: through ultrasonic examination and touch, the doctor can completely determine whether the testis has ruptured. Cold compress first. During debridement, the doctor will try his best to preserve testicular tissue. Once the spermatic artery is ruptured or the testis is severely ruptured, it is necessary to remove the testis, place drainage in the scrotum, and use antibiotics to prevent reinfection.
Prevention of recidivism: Strengthen protection from the waist down. Cause and effect: scratches, scratches, or scratches caused by zipper.
Your examination: scrotal skin ecchymosis and hematoma. If the scrotum is torn, the testicles are exposed on the surface.
Doctor's treatment: scrotal skin wound heals quickly and does not need special emergency treatment. Only consult an expert for larger wounds. If the skin is not torn, you can stay in bed and apply local cold compress to relieve the pain. On the contrary, tetanus antitoxin injection should be injected for local debridement and foreign body removal, testicles should also be taken and antibiotics should be used to prevent reinfection; If the scrotal skin is completely torn off, it is necessary to reconstruct the scrotum surgically.
Prevention of recidivism: avoiding scrotal trauma. Cause and effect: Testicular torsion is not uncommon, and can occur from newborns to the elderly, but the incidence rate is higher in children and people aged 20-25. This torsion can be removed due to testicular necrosis. The longer the delay, the greater the possibility of testicular dysfunction. Even if the testis is not removed, the sperm function produced by the testis will often be damaged due to long-term ischemia, resulting in testicular atrophy. The essential cause of torsion is generally congenital malformation of reproductive organs.
If levator testis is stimulated during exercise, trauma and sleep, so that its contraction is enhanced, the levator testis fibers are spiral and the weight of testis increases, especially for cryptorchidism with only one testis exposed. Testicular torsion easily occurs at night or early in the morning.
Your examination: suddenly unable to exercise, feeling swelling, tenderness and severe pain in one scrotum, and the pain spreads to the lower abdomen, groin or thigh; Not only that, nausea, vomiting and fever followed.
The doctor's treatment: in the early stage of testicular torsion, the "unarmed reduction" operation for about half an hour can achieve good results, but after a long period of onset, surgery can only be performed. Usually after six hours of testicular torsion, it will cause irreversible damage, so the testis must be removed. Mild testicular torsion was very painful at that time, but it can be quickly relieved after a short rest, and general activities can be carried out after dressing; Once you are hit, touched, pinched, etc. There will be severe pain and even severe shock. If it happens unfortunately, it is especially important for unmarried men to ask a doctor for routine semen examination after treatment to understand the function of diseased testis.
Prevention of recidivism: If a 20-25-year-old man suddenly has scrotal swelling and pain, he should consider the possibility of testicular torsion and go to the hospital for urology examination and treatment in time. Cause and effect: Testicular cancer is one of the most common cancers in young men. According to statistics, the incidence rate of testicular cancer in men is 7 per 100,000, and it is increasing year by year. The cause is usually malignant tumor metastasis. Your examination: scrotal swelling, heaving pain or discomfort without any warning before canceration are mostly accidentally touched when taking a bath. If it is swollen and hard, see a doctor at once. A few people can suffer from acute orchitis, which makes the testicles red, swollen, hot and painful, and the whole body is afraid of cold.
Doctor's treatment: First, ultrasound examination found a tumor suspected of cancer, and several tumor indicators increased. Once cancer is diagnosed, the testis and spermatic cord must be removed. Usually, there are few cancers in both testicles, so fertility will be preserved. Even if the tumor has not formed serious metastasis, measures should be taken as soon as possible to avoid deterioration.
Generally speaking, if the tumor does not metastasize, the chance of cure is 95%. Even if cancer cells have spread, the chances of cure are 80% to 90% higher than many other cancers.
Prevention of recidivism: I suggest that you often touch your testicles, find abnormalities early, get a doctor's diagnosis and timely treatment, so that the chances of cure are higher. Remember: Time is life. In addition, if primary acute orchitis is ineffective after treatment by doctors, the possibility of canceration should be considered. Testicular elasticity, heat swelling and cold contraction, the best time to check is after taking a hot bath, because the scrotum is slack at this time.