Protruding hard lumps at the lower end of the testicles can be alleviated through surgical treatment, drug treatment, hot compress treatment, traditional Chinese medicine treatment, daily care and other methods. The bulging hard lump at the lower end of the testicle may be related to varicocele, epididymal cyst, testicular hydrocele, epididymitis, testicular tumor and other factors.
1. Surgical treatment
If the hard lump at the lower end of the testicle is caused by varicocele, high spermatic vein ligation can be performed. Radical orchiectomy is an option when testicular tumors are the cause. Surgery needs to be decided based on the nature of the hard mass, and ultrasound and other examinations need to be completed before surgery to evaluate the condition.
2. Drug treatment
For hard lumps caused by epididymitis, antibiotics such as levofloxacin tablets, cefixime capsules, and azithromycin dispersible tablets can be used as directed by the doctor. When pain is severe, Ibuprofen sustained-release capsules can be used to relieve symptoms. Medication must be strictly followed as prescribed by the doctor and avoid adjusting the dosage on your own.
3. Hot compress treatment
For non-infectious hard lumps, hot compress can be used to promote local blood circulation. Use a warm towel for 15-20 minutes every day at a temperature that your skin can tolerate. This method is suitable for benign lesions such as hydrocele, but the acute inflammatory phase needs to be excluded.
4. Traditional Chinese Medicine Treatment
Traditional Chinese medicine believes that testicular hard lumps are mostly related to qi stagnation and blood stasis, and can be treated with proprietary Chinese medicines such as Juhe Pills and Guizhi Fuling Pills. External application of Jinhuang Powder can also help reduce swelling and knots. It is recommended to use syndrome differentiation and medication under the guidance of professional Chinese medicine practitioners.
5. Daily care
Avoid sitting for long periods of time that puts pressure on the scrotum, and wear breathable cotton underwear. Moderate the frequency of sexual life and reduce local stimulation. Clean the perineum every day and keep it dry and hygienic. Observe the changes of the hard block and record the size, hardness and other characteristics.
It is recommended to reduce the intake of spicy food and properly supplement with vitamin C to enhance immunity. To avoid scrotal impact caused by strenuous exercise, you can choose gentle activities such as walking. Regular ultrasound examinations are performed to monitor changes in the hard mass. If signs of infection such as redness, swelling, heat and pain appear, timely medical attention is required. Quitting smoking and limiting alcohol can help improve local microcirculation and promote the regression of hard lumps.

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