Testicular Infections: Symptoms, Treatment, and Recovery - Urology

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Testicular issues


The hospital diagnosed a testicular infection.
After taking antibiotics for a week, the right side is still red and swollen.
Although the pain has improved, will this have any long-term effects?

Hin, 20~29 year old female. Ask Date: 2021/08/12

Dr. Li Xinyi reply Urology


It is important to follow up on treatment in the urology department; one week may not be sufficient!

Reply Date: 2021/08/12

More Info


Testicular infections, often referred to as epididymitis or orchitis, can be quite concerning and require careful management. The symptoms you are experiencing—redness, swelling, and pain—are typical of such infections. It's important to understand the nature of these infections, their treatment, and the potential impact on your health.


Symptoms of Testicular Infections
The primary symptoms of testicular infections include:
1. Pain and Swelling: This is often localized to one testicle, but can occur in both. The affected area may feel warm to the touch and appear red or swollen.

2. Discomfort: You may experience a dull ache in the lower abdomen or groin.

3. Fever: Some individuals may develop a fever as the body responds to the infection.

4. Nausea: Accompanying symptoms can include nausea or vomiting, particularly if the pain is severe.

5. Changes in Urination: You might notice increased urgency or frequency of urination, or discomfort during urination.


Diagnosis and Treatment
Diagnosis typically involves a physical examination, medical history review, and possibly imaging studies like an ultrasound to assess the extent of the infection. Laboratory tests, including urine tests and cultures, may also be performed to identify the causative organism.

Treatment usually involves antibiotics, which you mentioned you have been taking for a week. It's crucial to complete the full course of antibiotics as prescribed, even if symptoms begin to improve. In some cases, additional treatments may be necessary, such as:
- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort.

- Rest and Elevation: Resting and elevating the affected testicle can reduce swelling and pain.

- Ice Packs: Applying ice packs to the area can also help with inflammation and pain relief.


Recovery and Potential Impact
Recovery from a testicular infection can vary based on the severity of the infection and the individual's overall health. While it is encouraging that your pain has improved, the persistent redness and swelling on the right side indicate that the infection may not be fully resolved. It is essential to follow up with your healthcare provider if symptoms persist or worsen.

In terms of potential impacts, most men recover completely from testicular infections without long-term complications, especially if treated promptly. However, untreated or severe infections can lead to complications such as:
- Abscess Formation: Pockets of pus can form, requiring surgical intervention.

- Infertility: In rare cases, severe infections can affect fertility, particularly if they lead to damage of the testicular tissue.

- Chronic Pain: Some individuals may experience ongoing discomfort even after the infection has resolved.


Conclusion
In summary, while your symptoms are improving, the ongoing redness and swelling warrant further evaluation. It is crucial to maintain open communication with your healthcare provider, who may recommend additional tests or a change in treatment if necessary. Early intervention can help prevent complications and ensure a full recovery. If you have any concerns about your symptoms or treatment plan, do not hesitate to reach out to your healthcare provider for guidance.

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