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It most often describes a temporary fluid congestion in the testicles or vulva, caused by prolonged sexual arousal without orgasm. [6] [7] The term epididymal hypertension is derived from the epididymis, a part of the male reproductive system. [8] The term is also applied to females despite the lack of an epididymis in female anatomy.
The pain may improve with raising the testicle. [1] Other symptoms may include swelling of the testicle, burning with urination, or frequent urination. [1] Inflammation of the testicle is commonly also present. [1] In those who are young and sexually active, gonorrhea and chlamydia are frequently the underlying cause. [1]
Varicocele might be noticed as soft lumps, usually above the testicle and mostly on the left side of the scrotum. [5] Right-sided and bilateral varicocele does also occur. Men with varicocele can feel symptoms of pain or heaviness in their scrotum. [5] Large varicoceles present as plexus of veins and may be described as a "bag of worms".
A hydrocele testis feels like a small fluid-filled balloon inside the scrotum. It is smooth and is mainly in front of the testis. Hydrocele testes vary greatly in size and are typically painless and harmless. However, as the fluid continues to accumulate and the scrotum further enlarges, more discomfort can be expected.
A hydrocele testis, the most common form of hydrocele, is the accumulation of fluids around a testicle. It is often caused by fluid collecting within a layer wrapped around the testicle, called the tunica vaginalis, which is derived from peritoneum. Provided there is no hernia present, it goes away without treatment in the first year.
Symptoms of orchitis are similar to those of testicular torsion. These can include: [citation needed] hematospermia (blood in the semen) hematuria (blood in the urine) severe pain; visible swelling of a testicle or testicles and often the inguinal lymph nodes on the affected side.
A feeling of pressure and squeezing in the chest is a serious indication that medical care is essential because chest pain and discomfort is one of the most common symptoms of heart attack in men.
The signs and symptoms listed below are relating to hematoceles and associated conditions that can be due to other causes such as testicular cancer or testicular torsion: [7] Unusual lump; Sudden pain; Dull aching pain or feeling heavy in the scrotum; Pain radiating throughout the groin, abdomen, or lower back; Tender, swollen, or hardened testicle