What Should I Do If My Testicles Swell Up Significantly?

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Testicular Swelling and Associated Medical Advice

When the testis swells significantly, it is advisable to seek medical attention for examination to clarify the underlying cause and select an appropriate treatment plan. If the cause is testicular inflammation or epididymitis, intravenous administration of Cefuroxime Sodium for Injection can be prescribed as per doctor's advice. If it is testicular cancer, hospitalization and surgical treatment are recommended.

1. Diagnosis and Treatment of Testicular Inflammation or Epididymitis

If a B-ultrasound examination reveals an enlarged testis accompanied by significant pain, visible swelling of the scrotum, redness of the scrotal skin, and obvious pain when touched, testicular inflammation or epididymitis is suspected. It is recommended to rest in bed and intravenously administer Cefuroxime Sodium for Injection at a dosage of 1.5g twice daily for one week to observe the improvement in swelling.

2. Suspicion and Examination of Testicular Cancer

If the testis is enlarged and accompanied by increased density, the suspicion of testicular cancer arises, and further CT examination of the testis and testing of testicular tumor markers are needed. If the test results indicate significantly elevated tumor markers and the CT scan reveals a substantial increase in testicular mass, a high suspicion of testicular cancer exists, and hospitalization for surgical treatment is recommended.

What is Testicular Inflammation?

Testicular inflammation is a common disease in urology, mainly manifesting as soreness, swelling, or stabbing pain in the testis or epididymis. The causes of testicular inflammation may be bacterial infections or unhealthy lifestyle and dietary habits, such as prolonged sitting and wearing tight clothing, which may lead to the development of the condition. When testicular inflammation presents with the above symptoms, it is necessary to first perform a B-ultrasound examination of the testis and epididymis to diagnose the presence of inflammation. Based on the patient's symptoms and the diagnosis, appropriate medication is selected for treatment. Commonly used medications include western and traditional Chinese medicine. Western medicine primarily consists of antibiotics such as amoxicillin, azithromycin, cephalosporins, and rifaximin. Traditional Chinese medicine mainly focuses on promoting blood circulation and removing blood stasis, with commonly used formulations including Xihuang Capsules, Qianlietongyu Capsules, and Qianlixin Capsules.