Common Urology Concerns: Testicular Issues and Skin Color Changes

Some questions..?

Hello, doctor: I would like to ask you some questions.
I had surgery for a hernia when I was young, and recently I've noticed that sometimes my testicles feel a bit swollen, but other times they seem fine.
What could be the issue? I occasionally masturbate, but not often, and sometimes after doing so, the swelling seems more pronounced.
What could be causing this? Also, the skin around my penis has a darker color; is that normal? Why is it darker? I would like to know how I can lighten it.

A-Gai, 10~19 year old female. Ask Date: 2010/03/23

Dr. Xu Weikai reply Urology

Hello, I am pleased to assist you with your various questions:
1.
I have noticed that sometimes my testicles feel a bit swollen, and at other times they seem normal.
What could be the issue? It may not be a problem, or it could be.
I cannot determine without further evaluation.
2.
I occasionally masturbate, but not frequently.
Sometimes after I do, the swelling is more pronounced.
What does this indicate? I am unsure what specific issue you are referring to.
3.
Additionally, the color of my penis seems a bit darker.
Is this normal? Why does it appear darker? If I want to lighten it, what should I do? Are you referring to the color of the penis or the scrotum? Is the discoloration widespread or localized? If you wish to lighten the skin, please consult a dermatologist.
Taiwan's Ministry of Health and Welfare, Taitung Hospital, Urology Department, Director Hsu Wei-Kai.
If you have any concerns about this response, feel free to continue the discussion.

Reply Date: 2010/03/23

More Info

When it comes to common urology concerns, particularly regarding testicular issues and skin color changes, it's important to understand the underlying factors that may contribute to these symptoms. Based on your description, there are several aspects to consider.

Testicular Concerns
1. Testicular Swelling or Changes: The sensation of your testicles feeling "凸凸" (protruding or swollen) can be attributed to various factors. After a history of hernia surgery, it is not uncommon to experience changes in the testicular area due to scar tissue or changes in the anatomy. Additionally, conditions such as epididymitis (inflammation of the epididymis), varicocele (enlargement of veins within the scrotum), or even testicular torsion (twisting of the spermatic cord) could lead to similar sensations. If the swelling is intermittent and resolves on its own, it might be less concerning, but persistent or painful changes warrant a visit to a urologist for a thorough evaluation.

2. Impact of Sexual Activity: You mentioned that after masturbation, the changes in your testicles seem more pronounced. This could be due to increased blood flow and temporary swelling that occurs during sexual arousal and ejaculation. It's generally normal for the testicles to feel different after sexual activity, but if you experience pain or significant discomfort, it’s advisable to consult a healthcare professional.

Skin Color Changes
1. Darkening of the Skin: The darkening of the skin around the genital area, including the penis and scrotum, is quite common and can be attributed to several factors. The skin in these areas is naturally darker due to increased melanin production, friction, and hormonal influences. This is typically normal and varies from person to person.

2. Skin Conditions: If the darkening is accompanied by other symptoms such as itching, irritation, or changes in texture, it could indicate a skin condition such as post-inflammatory hyperpigmentation, which can occur after irritation or inflammation. Conditions like lichen sclerosus or fungal infections can also cause changes in skin color and texture.

3. Desire for Skin Lightening: If you are looking to lighten the skin in that area, it’s crucial to approach this with caution. Many over-the-counter products claim to lighten skin but can cause irritation or adverse reactions, especially in sensitive areas. Consulting a dermatologist is the best course of action to discuss safe and effective options for skin lightening, if that is your goal.

Recommendations
- Consult a Urologist: Given your concerns about testicular changes, it would be wise to schedule an appointment with a urologist. They can perform a physical examination and possibly imaging studies to rule out any underlying conditions.

- Dermatological Advice: For the skin color changes, a dermatologist can provide insights into whether the changes are normal or if they require treatment. They can also recommend safe products if you are interested in skin lightening.

- Monitor Symptoms: Keep track of any additional symptoms you may experience, such as pain, swelling, or changes in urination. This information will be helpful for your healthcare providers.

- Healthy Practices: Maintain good hygiene and avoid irritants in the genital area. Wearing breathable, loose-fitting underwear can help reduce friction and irritation.

In summary, while some changes in the testicular area and skin color can be normal, persistent or concerning symptoms should be evaluated by a healthcare professional. Taking proactive steps to consult with specialists will help ensure that any underlying issues are addressed appropriately.

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