What's the matter with a hard lump growing inside the testicles?

Hard pimples in the testicles may be related to epididymitis, testicular cysts, testicular tuberculosis, testicular tumors, varicocele and other factors. It is recommended to seek medical examination promptly and carry out targeted treatment after the cause of the disease is clarified.

1. Epididymitis

Epididymitis may be related to bacterial infection and manifests as swelling, pain and induration of the testicles. The inflammatory response can lead to local tissue proliferation and the formation of tender nodules. After diagnosis, the doctor may prescribe antibiotics such as levofloxacin hydrochloride tablets and cefixime dispersible tablets, in conjunction with scrotal elevation to relieve symptoms. It is necessary to avoid prolonged sitting and stress in daily life.

2. Testicular cyst

Testicular cysts are usually caused by blockage of the seminiferous tubules, forming a painless cystic induration. B-ultrasound examination shows a clearly defined anechoic zone. Those with smaller sizes can be observed and followed up, and testicular cyst aspiration may be required when the diameter exceeds a certain standard. Be careful to avoid trauma that could cause the cyst to rupture.

3. Testicular tuberculosis

Mycobacterium tuberculosis infection can cause caseous necrosis of the testicles, forming hard nodules. Often accompanied by systemic symptoms such as low fever and night sweats. Anti-tuberculosis treatment such as isoniazid tablets combined with rifampicin capsules is required, and the course of treatment will last for a long time. Liver function must be reviewed regularly during treatment.

4. Testicular tumors

Testicular tumors appear as painless, progressively enlarging, solid masses. Among them, seminomas are as hard as stone. The diagnosis requires tumor marker detection and pathological biopsy. Radical orchiectomy combined with radiation therapy may be necessary depending on the stage. Long-term monitoring for recurrence is required after surgery.

5. Varicocele

Abnormal dilatation of the spermatic venous plexus may be mistaken for intrascrotal induration and is common in the left testis. Severe varicose veins can cause a swollen feeling in the scrotum, and ultrasound examination can show widening of the vein diameter. For patients with obvious symptoms, high spermatic vein ligation may be considered. Standing for long periods of time should avoid aggravating venous reflux.

If you find testicular induration, you should avoid squeezing or applying heat on your own, and promptly go to the urology department to complete palpation, ultrasound and other examinations. Wear loose and breathable underwear every day to reduce strenuous exercise. If you are diagnosed with a tumor disease, you must strictly follow the doctor's instructions and complete a standardized treatment and follow-up plan. It is recommended that the spouse also be tested to exclude the possibility of sexually transmitted diseases.