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Typical findings are redness, warmth and swelling of the scrotum, with tenderness behind the testicle, away from the middle (this is the normal position of the epididymis relative to the testicle). The cremasteric reflex (elevation of the testicle in response to stroking the upper inner thigh) remains normal. [1]
A hydrocele is an accumulation of serous fluid in a body cavity.A hydrocele testis, the most common form of hydrocele, is the accumulation of fluids around a testicle.It is often caused by fluid collecting within a layer wrapped around the testicle, called the tunica vaginalis, which is derived from peritoneum.
Testicular pain, also known as scrotal pain, occurs when part or all of either one or both testicles hurts. Pain in the scrotum is also often included. Testicular pain may be of sudden onset or of long duration. [1] [2] Causes range from non serious muscular skeletal problems to emergency conditions such as Fournier gangrene and testicular ...
There are three main theories as to the anatomical cause; the first has to do with the geometry of the veins, wherein the vein on the left side connects to the larger outflowing vein at a right angle, which tends to fail; the second is that testicular valves that are supposed to prevent backflow fail (venous insufficiency) leading to swelling ...
Gynecomastia can cause your nipples to become swollen or tender. ... impact if the unaffected testicle is healthy. Cancer treatments. Chemotherapy and radiation therapy can cause permanent ...
Given the treatment implications of testicular torsion, it is important to distinguish testicular torsion from other causes of testicular pain, such as epididymitis, which can present similarly. While both conditions can cause testicular pain, the pain of epididymitis is typically localized to the epididymis at the rear pole of the testicle.
However, as the fluid continues to accumulate and the scrotum further enlarges, more discomfort can be expected. Large hydroceles will cause discomfort because of their size. Sometimes pain can be in both testicles as pressure from the enlarged area puts pressure against the unaffected area which can cause discomfort to the normal testicle.
The primary care physician may diagnose and manage benign causes of scrotal masses such as hydrocele, varicocele and spermatocele. However, if a "must not miss" diagnosis related to testicular masses such as testicular torsion, epididymitis, acute orchitis, strangulated hernia and testicular cancer is suspected, the family physician must refer ...