Why are the testicles swollen and the scrotum moist?

Testicular swelling and scrotal moisture may be caused by varicocele, chronic prostatitis, epididymitis, scrotal eczema, damp-heat injection, etc., and can be improved through drug treatment, physical therapy, surgical treatment, etc. It is recommended to seek medical treatment promptly and identify the cause of the disease and then treat it accordingly.

1. Varicocele

Varicocele may be related to factors such as venous valve insufficiency and long-term standing. It usually presents with symptoms such as scrotal swelling and vein tortuosity. Treatment requires the use of diosmin tablets, Maizhiling tablets and other drugs to improve venous return as directed by the doctor. For severe cases, laparoscopic high spermatic vein ligation may be considered. Avoid sitting and standing for long periods of time on a daily basis, and wear loose underwear to reduce compression.

2. Chronic prostatitis

Chronic prostatitis may be related to bacterial infection, pelvic floor muscle spasm and other factors, and is often accompanied by symptoms such as frequent urination and perineal discomfort. You can use tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs as directed by your doctor along with warm water sitz baths. Avoid drinking alcohol and spicy food, and regular ejaculation can help relieve symptoms.

3. Epididymitis

Epididymitis is mostly caused by bacterial retrograde infection. In the acute phase, the scrotum is red, swollen, hot and painful, and in the chronic phase, there may be a feeling of swelling. Treatment requires the use of antibiotics such as cefixime dispersible tablets and levofloxacin tablets as directed by the doctor. In the acute stage, bed rest and scrotum elevation are required. Recurrent attacks require investigation of urinary system malformations and other triggers.

4. Scrotal eczema

Scrotal eczema may be related to local excessive sweating and allergic reactions, manifesting as skin flushing, itching and scaling. Triamcinolone acetonide and econazole cream, zinc oxide borate ointment and other drugs can be used externally to keep the affected area clean and dry. Avoid scratching and hot water, and wear breathable cotton underwear.

5. Wet and hot betting

Long-term greasy eating and long-term sitting can cause dampness and heat accumulation, causing a moist and sticky feeling in the scrotum. Traditional Chinese medicine treatment can use heat-clearing and dampness-removing drugs such as Longdan Xiegan Pills and Ermiao Pills, combined with diet therapy such as coix seed and adzuki beans. Appropriate exercise promotes perspiration and avoids staying up late and emotional anxiety.

Pay attention to the daily cleaning of the perineum, wash it with warm water every day and dry it thoroughly； Choose moisture-absorbent and breathable cotton underwear and change them daily ； Avoid riding a bike or sitting for long periods of time ； The diet should be light and eat less spicy food. If the symptoms persist or symptoms such as redness, swelling, pain, and fever occur, you should promptly go to the urology department for a clear diagnosis such as scrotal ultrasound and prostatic fluid examination.