Text by Chen Xiaoquan Organized by Liang Yingxiu
The causes of testicular enlargement can be small hernia, hydroscrotum, orchitis and testicular cancer respectively.
In addition to cancer, some patients do not need treatment if they live without affecting their lives, but they still need long-term observation. In severe cases, testicles may be removed.
(KUALA LUMPUR) There are several reasons that can lead to swollen testicles, one of which is intestinal gas (also known as a hernia).
During fetal development, when the testicles descend from the abdominal cavity to the scrotum, there will be a space for the muscles, aging or obesity will cause muscle decline and aging, and the organs in the abdomen will sometimes fall into this small hole, and then cause intestinal gas, sometimes This intestinal gas will fall into the scrotum, causing the testicles to swell.
There is no cure for a small hernia
Dr. George Lee Eng Geap, consultant urologist, said that if a man’s testicle suddenly swells, the patient can try to put his finger on the swollen area, and then cough a few times vigorously. If there is nausea or vomiting, then It’s a small hernia.
“Currently there is no cure for small hernias,
If there is no pain, as long as you don’t lift weights, you can ignore it;
If it causes pain and affects daily life,
Symptoms can be improved with surgery.
The cause of testicular enlargement is hydrocele,
It is mainly caused by the inflow of body water into the scrotum and swelling. “
“Patients with hydrotesticular fluid can try this method for self-diagnosis: shine a flashlight on the testicles in a dark room, and the testicles will ‘reflect light’ like a lantern. Hydrotesticular hydrops will not cause trouble, and it doesn’t matter if you don’t seek medical attention. If it is swollen or embarrassing, it can be removed with minor surgery.”
“In addition, the epididymis may also have water accumulation. This symptom is very common, but it will not bring pain, discomfort or even cancer to the patient. It only needs long-term follow-up and observation.”
If a man is not sexually active, after the epididymis produces sperm, some water will be produced, and after long-term accumulation, water tumors will form and the testicles will swell. However, please rest assured that the water tumors are benign.
He said that the testicle was swollen with pain, it could be orchitis or epididymitis. If men under the age of 40 suffer from orchitis, they may also be sexually active and suffer from sexually transmitted diseases, such as chlamydia, mycoplasma or gonorrhea. But whenever they ask a doctor, no one will admit that they have a very active sex life, and they often blame hygiene problems such as hotels or massage parlors.
empyema requiring testicular removal
The treatment of orchitis is cured by taking the correct antibiotics, and if the patient has a sexually transmitted disease, he should also be cured. If it is over 40 years old, it may not be caused by sexually transmitted diseases, it may be caused by prostate problems. Prostate enlargement can cause unclean urination, enuresis, and induce orchitis. When the prostate is inflamed, bacteria can travel through the vas deferens to the testes and cause inflammation.
“Doctors usually use antibiotics to treat testicular inflammation. The treatment period is more than 6 weeks. If severe cases have empyema, the testicles need to be removed.
If the testicular enlargement is not cancerous, it may be caused by intestinal gas, hydrotesticular or orchitis. If the patient is unwilling to seek medical treatment due to shame, the patient can self-diagnose with the illuminating light. “
than ordinary people3 times bigger Diagnosed at the age of 33cancer
There was a 33-year-old patient who had been married for 6 years and still had no children. After examination, it was found that the size of the testicle was about 12 cm.
The testicles of a normal person are about 3 to 4 cm, but this patient’s is 3 times larger than normal and there is no pain. An enlarged testicle without any pain may be a sign of cancer.
Testicular cancer generally occurs in men between the ages of 18 and 38, and cryptorchidism increases the risk of testicular cancer. If the testicles of a male newborn are not fully inserted into the scrotum, the testicles will always be exposed to high temperature. If there is no surgical treatment, the risk of developing cancer will increase by 50% when they are young.
Fear of cancer cell metastasis to bone and brain
Most testicular cancers do not feel any pain, but the testicles grow rapidly and harden, like a stone, and patients do not feel any physical changes. Testicular cancer can occur in young people or athletes. As long as they receive treatment, the chance of being cured can reach 97%. Even advanced patients have a chance of being cured.
When Li Yongye saw that the patient’s testicles were so huge, he begged the patient to believe in his diagnosis, which was cancer.
“Most young men will not believe that they have cancer. To prove my diagnosis, I first performed a testicular ultrasound and blood tests for him.”
“There is an indicator of cancer in the blood test,
This indicator was originally used to detect the hormones produced by women when they are pregnant.
Known as beta human chorionic gonadotropin (Beta hCG).
Men do not contain this hormone at all,
Therefore, if human chorionic gonadotropin beta is shown in the test,
It means he has testicular cancer. “
He conducted a total of 3 tests for this patient, namely scan, blood test and urine test. After the examination, it was found that the cancer cells showed signs of lymphatic metastasis, so it was diagnosed as stage III testicular cancer. But at the moment, he can’t persuade the patient to accept surgery because the other party doesn’t believe in the diagnosis, so he can only advise him to consult a few more doctors, make a decision and receive treatment as soon as possible, otherwise, when the cancer cells metastasize to the bone or brain, the effectiveness of the treatment will be greatly improved. Difficulty and cost.
“I suggest this patient undergo orchidectomy. Before the operation, he will freeze his sperm to prepare for the next generation. As long as he undergoes surgery and three times of chemotherapy, I am confident that the patient will be completely cured within 5 years. .”
Testicular cancer has a very high chance of being cured
Among the 10 testicular cancer patients, 9 patients will be persuaded by Li Yongye to receive treatment. As for the other patient, it is too late when he returns to the doctor after 6 months.
“I want to remind everyone that testicular cancer only occurs in young people, but the chances of being cured are extremely high, so don’t bet on the wrong bet.”
What moved Li Yongye the most was that whenever patients were diagnosed with testicular cancer, they would tell him to thank God for giving them this “gift”. Although patients will be very disappointed and confused at the moment, they realize the fragility of life only after they are cured, so they should cherish life.
“I have also learned a lot of life philosophy from patients, so every time I successfully persuade patients to undergo surgery, I am extremely happy, because I will learn a new outlook on life from them, and cherish every moment now. a moment.”