Testicular Skin Pain: Causes, Treatments, and Concerns - Urology

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Skin issues


Hello doctor, I recently noticed that the skin on my testicles is painful and feels warm.
I saw a dermatologist who said there was no issue and prescribed me Jershu cream to apply, but it doesn't seem to be effective.
I'm worried it might be a tumor.
What should I do? Typically, how long does it take for redness and swelling of the testicular skin to improve with medication?

Zhang Rui'en, 20~29 year old female. Ask Date: 2018/12/08

Dr. Du Shixi reply Urology


Hello: If there is redness and the dermatological medication has not fully resolved the issue after one week, you should seek medical attention again.
Additionally, maintain a light diet, wash with clean water, and ensure the area is dry after washing.
Wear loose-fitting underwear.

Reply Date: 2018/12/08

More Info


Testicular skin pain can be a concerning symptom, and it's understandable that you're feeling anxious about it. The sensation of warmth and pain in the skin of the testicles can arise from various causes, and it's important to consider these possibilities to determine the best course of action.


Possible Causes of Testicular Skin Pain
1. Infection or Inflammation: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can lead to pain and discomfort. These conditions are often caused by bacterial or viral infections and can present with swelling, redness, and warmth in the affected area.

2. Skin Conditions: Dermatitis, fungal infections, or other skin conditions can cause localized pain and discomfort. If the skin appears red or inflamed, it may indicate a dermatological issue that requires specific treatment.

3. Nerve Pain: Neuropathic pain can also manifest in the testicular area. This type of pain is often described as burning or tingling and can be related to nerve irritation or damage.

4. Trauma or Injury: Any recent trauma to the area, even if minor, can lead to localized pain and discomfort.
5. Testicular Torsion: Although this is a more acute and severe condition, it is characterized by sudden and severe pain. If you experience this type of pain, it is considered a medical emergency.

6. Tumors: While it is less common, tumors can develop in the testicular area. If there is a persistent lump or mass, it is crucial to have it evaluated by a healthcare professional.


Treatment Options
1. Topical Treatments: If a skin condition is suspected, topical treatments such as antifungal creams or corticosteroids may be prescribed. However, if the current treatment (like the cream you mentioned) is ineffective, it may be necessary to revisit your healthcare provider for a reevaluation.

2. Oral Medications: If an infection is diagnosed, antibiotics or antiviral medications may be necessary. Pain relief can also be managed with over-the-counter pain relievers like ibuprofen or acetaminophen.

3. Lifestyle Modifications: Wearing loose-fitting underwear and avoiding irritants can help alleviate discomfort. Keeping the area clean and dry is also essential.

4. Follow-Up Care: If symptoms persist or worsen, it is crucial to follow up with a healthcare provider. They may recommend imaging studies, such as an ultrasound, to rule out more serious conditions.


When to Seek Immediate Care
If you experience any of the following symptoms, seek immediate medical attention:
- Severe or sudden pain in the testicular area
- Swelling or a noticeable lump
- Fever or chills
- Nausea or vomiting

Conclusion
In summary, testicular skin pain can stem from various causes, ranging from infections to skin conditions. Since you've already consulted a dermatologist and received treatment, it may be beneficial to follow up with a urologist or your primary care physician for further evaluation. They can provide a more comprehensive assessment and determine if additional tests or treatments are necessary. Remember, early intervention can lead to better outcomes, so don't hesitate to seek further medical advice if your symptoms persist or worsen.

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