Causes of swelling and pain above right testicle

Pain and swelling above the right testicle may be related to varicocele, epididymitis, testicular torsion, inguinal hernia, urinary system stones and other factors. It is recommended to seek medical treatment promptly for a clear diagnosis and follow the doctor's instructions for targeted treatment.

1. Varicocele

Obstruction of spermatic vein return may cause swelling and pain above the right scrotum, which worsens after standing for a long time or exerting exertion. It may manifest as a feeling of swelling in the scrotum, and vermiform varicose veins may be seen on physical examination. Mild cases can be relieved by scrotal support, while severe cases require high spermatic vein ligation. Related drugs include intravenous active drugs such as Maizhiling tablets and diosmin tablets.

2. Epididymitis

Inflammation of the epididymis caused by bacterial infection often leads to persistent swelling and pain above the testicles, which may be accompanied by symptoms such as fever and frequent urination. Physical examination showed enlargement and tenderness of the epididymis. Antibiotics such as levofloxacin tablets and cefixime dispersible tablets need to be used as directed by the doctor. In the acute stage, bed rest and ice application are required to relieve swelling.

3. Testicular torsion

Sudden severe pain accompanied by elevated testicular position requires vigilance for testicular torsion, which is a urological emergency. The pain often radiates to the groin area and may be accompanied by nausea and vomiting. After diagnosis, emergency surgical reduction and fixation are required, and the golden rescue time is within 6 hours of onset.

4. Inguinal hernia

The defect in the groin area causes the intestine to fall into the scrotum, which may cause pulling pain, which is obvious when standing and relieved by lying down. A soft mass can be palpated and there is a shock sensation when coughing. Hernia repair is required to avoid the risk of incarceration.

5. Urinary system stones

Lower ureteral stones may cause radiating swelling and pain, often accompanied by symptoms such as hematuria and interruption of urination. B-ultrasound or CT can clearly identify the location of the stones. For stones under 5 mm, stone removal treatment can be attempted. Commonly used drugs include uroshitong pills, tamsulosin hydrochloride sustained-release capsules, etc.

In daily life, you should avoid sitting and riding a bicycle for a long time, and wear loose underwear to reduce compression. When an acute pain attack occurs, it can be temporarily relieved by ice compress, but you must go to the urology department in time to investigate the serious cause. Avoid taking painkillers on your own to cover up the condition, and all drug treatments must be carried out under the guidance of a doctor. Keep the perineum clean and dry, exercise moderately to enhance physical fitness, eat a light and low-salt diet, and drink no less than 2000 ml of water every day.