What's wrong with the little pimple on my testicle?

The appearance of small pimples on the testicles may be related to factors such as sebaceous cysts, folliculitis, epididymitis, varicocele or testicular tumors, which can be treated through local cleaning, drug treatment or surgical removal.

1. Sebaceous cyst

Blockage of sebaceous glands may lead to the formation of cysts, which appear as painless indurations. It may be related to poor local hygiene or strong hormone secretion. Erythromycin ointment or mupirocin ointment can be used as directed by the doctor to fight infection. Larger cysts require surgical removal. It is necessary to keep the perineum clean and dry every day to avoid squeezing and irritation.

2. Folliculitis

Bacterial infection of hair follicles can cause red, swollen, painful pimples, often caused by excessive sweating or after shaving. May be related to Staphylococcus aureus infection. Fusidic acid cream or compound polymyxin B ointment can be used externally, and in severe cases, cefuroxime axetil tablets can be taken orally. Parents are advised to ensure that children avoid scratching and wear breathable cotton underwear.

3. Epididymitis

Retrograde infection by pathogens can cause enlargement of the epididymis with fever and swelling. Mostly caused by Escherichia coli or Neisseria gonorrhoeae. It is necessary to use levofloxacin tablets or cefixime dispersible tablets to fight infection, combined with bed rest. In the acute stage, cold compresses can be used to relieve swelling and avoid strenuous exercise from aggravating congestion.

4. Varicocele

Poor venous return will cause earthworm-like masses to appear in the scrotum, which will worsen after standing for a long time. May be related to venous valve insufficiency. A special sling can be worn for mild cases, but laparoscopic high spermatic vein ligation is required for severe cases. It is recommended to avoid standing for long periods of time and to have regular ultrasound scans to monitor progress.

5. Testicular tumors

A painless, gradually enlarging mass should alert you to germ cell tumors. It may be related to a history of cryptorchidism or genetic factors. The diagnosis requires tumor marker detection and pathological biopsy, and treatment includes radical orchiectomy combined with radiotherapy and chemotherapy. AFP and other indicators need to be monitored regularly after surgery to detect recurrence and metastasis in a timely manner.

If you find a testicular mass, you should seek medical advice as soon as possible to determine its nature to avoid delaying the condition with self-medication. Pay attention to daily observation of changes in the mass, and record the time of appearance, growth rate and accompanying symptoms. Wear loose-fitting underwear to reduce friction and avoid hot environments. Perform testicular self-examination regularly. Use your thumb and index finger to gently roll your testicles to check for abnormalities. If you find changes in hardness or irregular shape, you should seek medical attention promptly. Maintain a regular schedule and moderate exercise to enhance immunity and prevent the occurrence of infectious diseases.