Swelling in the testicle is usually a sign that there is a problem at the site and, therefore, it is very important to consult a urologist as soon as a difference in the size of the scrotum is identified, in order to make the diagnosis and start the correct treatment.
Most of the time, swelling is caused by a less serious problem such as hernia, varicocele or epididymitis, but it can also be a sign of more urgent changes such as testicular torsion or cancer, for example.
1. Inguinal hernia
Inguinal hernia occurs when a portion of the intestine manages to pass through the muscles of the abdomen and enters the scrotum, causing marked swelling associated with a slight and constant pain, which does not go away, and which is worse when getting up from a chair or bending over. body forward.Although this problem is more common in children and young adults, it can happen at any age.
- What to do: It is recommended to consult a surgeon, who will evaluate the hernia, to decide if surgery is necessary, to put the intestine in the correct place. Therefore, whenever you suspect an inguinal hernia, it is recommended to go to the hospital as soon as possible, since there is a risk of serious complications such as infection and death of intestinal cells.
Varicocele is the dilatation of the testicle veins (very similar to what happens with varicose veins in the legs) that can cause swelling in the testicles, more often in the upper part, being the most frequent cause of male infertility. This type of change is most common in the left testicle and is usually not accompanied by other symptoms, although some men may experience a slight feeling of discomfort or heat in the scrotum area.
- What to do: treatment is usually not necessary, however if there is pain it is important to go to the hospital or consult a urologist to start treatment with analgesic drugs such as Paracetamol or Dipyrone. In addition, the doctor may also recommend the use of special, tighter underwear to support the testicles, and in some cases surgery may be necessary. Learn more about treating varicocele.
Epididymitis is an inflammation of the place where the vas deferens attach to the testicle, which can manifest as a small lump on top of the testicle. This inflammation usually happens due to a bacterial infection transmitted by unprotected anal sex, but it can also arise in other cases. Other symptoms may be severe pain, fever, and chills.
- What to do: Epididymitis needs to be treated with antibiotics, so it is necessary to consult a urologist if this infection is suspected.Antibiotic treatment usually includes an injection of ceftriaxone followed by 10 days of oral antibiotics at home.
Orchitis is an inflammation of the testicles that can be caused by viruses or bacteria, usually caused by the mumps virus or bacteria from a urinary tract infection or sexually transmitted disease, such as gonorrhea or chlamydia. In these cases, there may also be fever, blood in the semen and pain when urinating.
- What to do: You must go to the hospital to start appropriate treatment with antibiotics or anti-inflammatory drugs. Until then, discomfort can be reduced by applying cold compresses at the site and resting.
Hydrocele is characterized by the growth of a fluid-filled pouch inside the scrotum, next to the testicle.This testicular change is more common in babies, but it can also happen in men who suffer testicular trauma, testicular torsion or epididymitis, for example. Understand more about hydrocele.
- What to do: Although, in most cases, the hydrocele disappears on its own within 6 to 12 months, without the need for specific treatment, it is recommended to go to the hospital to confirm the condition. diagnosis and exclude other more serious hypotheses.
6. Testicular torsion
Testicle torsion happens when the cord responsible for supplying blood to the testicles is twisted, being an emergency situation, more common between 10 and 25 years old, which causes swelling and very intense pain in the region of the testicles. In some cases, this torsion may not happen completely and, therefore, the pain may be less intense or arise according to body movements. See how a torsion of the testicle can happen.
- What to do: It is important to go to the hospital quickly to start treatment with surgery and avoid serious complications such as infertility, for example.
7. Testicular cancer
One of the first symptoms of testicular cancer is the appearance of a lump or an increase in the size of one testicle in relation to the other, which can be confused with swelling. In these cases, it is common that there is no pain, but a change in the shape and hardness of the testicles can be noticed. Factors that increase the risk of developing testicular cancer are having a family history of testicular cancer or having HIV. See what other symptoms may indicate testicular cancer.
- What to do: Cancer should be identified as early as possible to increase the chances of cure. Therefore, if there is a suspicion of cancer, it is recommended to make an appointment with the urologist to perform the necessary tests and identify the problem.