Testicular Issues: When to Seek Medical Attention - Urology

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Hello! It sounds like you're experiencing a concerning issue with your right testicle moving into the inguinal area during swimming. This situation can be alarming, especially considering your history of testicular torsion.
First, let’s clarify what might be happening. The movement of the testicle into the inguinal canal could be indicative of a condition known as "testicular retraction." This is often seen in younger males and can occur due to the cremaster muscle reflex, which causes the testicle to move closer to the body in response to cold or physical activity. In your case, swimming might have triggered this reflex.
However, given your history of testicular torsion, it’s essential to approach this situation with caution. Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms typically include sudden, severe pain in the scrotum, swelling, and sometimes nausea. If you have previously experienced torsion, you may be at a higher risk for recurrence or other complications.

Since you mentioned that gently pressing on the testicle allowed it to return to its normal position, this is a positive sign. However, it is crucial to monitor for any additional symptoms, such as persistent pain, swelling, or changes in the appearance of the testicle. If the testicle does not remain in place or if you experience any significant discomfort, it is advisable to seek medical attention promptly.

In general, you should consider seeking medical evaluation if you experience any of the following:
1. Severe or persistent pain in the testicle or scrotum.

2. Swelling or changes in the size or shape of the testicle.

3. Nausea or vomiting accompanying the pain.

4. Fever or other signs of infection.

5. Any changes in urination or other urinary symptoms.

Given your history of testicular torsion, it would be prudent to consult a healthcare provider, even if the symptoms seem mild at the moment. They may recommend an ultrasound or other imaging studies to assess blood flow to the testicle and rule out any serious conditions.

In summary, while the movement of your testicle into the inguinal area may not be an immediate cause for alarm, your previous experience with torsion warrants a careful approach. If you have any doubts or if symptoms worsen, do not hesitate to seek medical attention. Early intervention can be crucial in preventing complications related to testicular health.