Painful Swelling Near Testicle: What Could It Be? - Urology

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The symptoms you are describing—painful swelling near the testicle, a lump that has developed, and the presence of fluid that may be pus—are concerning and warrant a thorough evaluation by a healthcare professional. Based on your description, this is unlikely to be hemorrhoids (痔瘡), which are typically associated with the anal area rather than the scrotum or testicular region.

There are several potential causes for the symptoms you are experiencing:
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can cause swelling, pain, and sometimes discharge. Epididymitis is often caused by infections, including sexually transmitted infections (STIs) or urinary tract infections.

2. Hydrocele: A hydrocele is a fluid-filled sac surrounding a testicle that can cause swelling. While hydroceles are usually painless, they can sometimes become uncomfortable or painful.

3. Spermatocele: This is a cyst that can develop in the epididymis and is typically filled with fluid and dead sperm. It may cause discomfort but is usually benign.

4. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It usually presents with sudden, severe pain and swelling. If you experience this, you should seek immediate medical attention.

5. Inguinal hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause swelling in the groin or scrotal area and may be painful.

6. Abscess: If the lump is painful and has fluid that can be expressed, it may be an abscess, which is a collection of pus that can occur due to infection. This would require medical evaluation and possibly drainage.

Given that you mentioned the lump is painful and has bled after being squeezed, it is crucial to avoid manipulating the area further, as this can exacerbate the condition or lead to further complications.

Recommendations:
1. Seek Medical Attention: It is essential to consult a healthcare provider, preferably a urologist, who can perform a physical examination and possibly order imaging studies (like an ultrasound) to determine the exact nature of the lump.

2. Avoid Squeezing: Do not attempt to squeeze or pop the lump, as this can lead to infection or worsen any underlying condition.

3. Monitor Symptoms: Keep track of any changes in the size of the lump, the nature of the fluid, or any additional symptoms such as fever, chills, or increased pain, and report these to your healthcare provider.

4. Discuss Sexual Health: If you are sexually active, it may be beneficial to discuss your sexual health and any potential exposure to STIs with your healthcare provider.

In summary, while it is understandable to be concerned about your symptoms, a proper medical evaluation is necessary to determine the cause and appropriate treatment. Early intervention can lead to better outcomes, so do not hesitate to seek help.