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What's wrong with big testicles?

Asked by:Genesis

Asked on:Apr 01, 2026 09:08 PM

Answers:1 Views:577
  • Emersyn Emersyn

    Apr 01, 2026

    Testicular enlargement may be caused by orchitis, varicocele, testicular hydrocele, testicular torsion, testicular tumors, etc. The cause can be clarified through physical examination, ultrasound examination, blood tests, etc., and timely treatment can be provided.

    1. Orchitis

    Orchitis may be related to bacterial infection, viral infection and other factors, and usually manifests as testicular swelling, pain, fever and other symptoms. It is common in mumps virus or Escherichia coli infection. It can be treated with cefixime dispersible tablets, levofloxacin hydrochloride capsules, Pudilan anti-inflammatory oral liquid and other drugs as directed by the doctor. In the acute stage, bed rest and scrotum elevation are required.

    2. Varicocele

    Varicocele may be related to factors such as venous valve insufficiency and long-term standing. It usually presents with symptoms such as scrotal swelling, testicular enlargement and tortuous veins. Mild cases can be relieved by wearing special support pants, while moderate and severe cases require the use of diosmin tablets, Maizhiling tablets and other drugs as directed by the doctor, and laparoscopic high spermatic vein ligation if necessary.

    3. Testicular hydrocele

    Testicular hydrocele may be related to inflammatory stimulation, obstruction of lymphatic drainage and other factors, and usually manifests as painless enlargement of the scrotum, positive light transmission test and other symptoms. A small amount of effusion can be observed and followed up. A large amount of effusion requires testicular tunica inversion surgery. Secondary effusion requires treatment of the primary disease such as epididymitis.

    4. Testicular torsion

    Testicular torsion may be related to congenital mesangial length, strenuous exercise and other factors. It usually presents with symptoms such as sudden testicular pain, elevated position, nausea and vomiting. It is a urological emergency, and the golden treatment time is within 6 hours. Immediate manual reduction or orchiopexy is required. Delay may lead to testicular necrosis.

    5. Testicular tumors

    Testicular tumors may be related to a history of cryptorchidism, genetic factors, etc., and usually manifest as painless swelling and hard texture of the testicles. The diagnosis needs to be confirmed through tumor marker detection and pathological biopsy. Radical orchiectomy combined with radiotherapy and chemotherapy should be selected according to the type. Seminomas are more sensitive to radiotherapy.

    It is necessary to avoid strenuous exercise that impacts the scrotum in daily life, wear loose and breathable underwear, and perform regular self-examination of testicular size and texture changes every month. If you find that your testicles continue to enlarge for more than 1 week, are accompanied by fever or abnormal urination, or worsening pain at night, you should see a urology department immediately. As an important male reproductive organ, abnormal enlargement of testicles may affect reproductive function. Early and standardized treatment is particularly important. Do not delay the condition because you are shy about seeking medical treatment.