What causes testicular pain, swelling, and discharge?

Question

Hello doctor,

One of my testes is causing me severe pain. I have noticed it is larger than the other and swollen. This started after I began experiencing a dirty milky discharge immediately after urination.

Please help.

Answer 1

Hello,

I am glad you chose icliniq for your medical-related queries.

I can understand your concern.

There are several potential reasons for your issue, including:

Prone masturbation: This can cause pain due to injury.
Holding or prolonging orgasm during masturbation: This can also lead to pain.
Epididymitis: Inflammation of the tube at the back of the testicle that carries sperm, due to infection (both sexually and non-sexually transmitted). This can be diagnosed with a urine test and a pelvic ultrasound.
Hydrocele: This can cause swelling.
Hernia: This can cause intermittent swelling.
Kidney stones: These can cause abdominal pain.
Infections: Unprotected sex with an unknown partner can lead to infections, causing fever and milky discharge from the penis.
Testicular torsion: This is a serious condition that requires immediate attention.
Urinary tract infection (UTI): This can produce a milky discharge (consider a urine culture).

Kindly share more details regarding the above possibilities. For now, I suggest you take the tablet Zerodol P (a combination of Aceclofenac and Paracetamol) for pain relief. Also, an ultrasound of the scrotum can provide a better understanding of your condition and guide further management.

I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.

Thank you.