Introduction
Pulling in the testicles is a symptom that can occur in many diseases. It is not always clear what the cause of the pulling is, so a thorough examination of the testicles and the surrounding organs is essential in order to make an accurate diagnosis. Likewise, pulling into the testicles is often accompanied by other symptoms, which together can indicate a certain disease.
Pulling in the testicles can have many different causes, which have different prognoses. Since these can include diseases that require quick therapy, a medical presentation is advisable. In the following we present an overview of the most obvious causes with an explanation of the corresponding therapy.
Diagnostics
At the first contact with the patient, the exact situation and symptoms are discussed in the medical history. In addition to this discussion, a physical examination by the doctor is also very important. There are many examination methods for the testicles and the surrounding organs, such as the prostate.
The testicles can be easily palpated by the doctor to detect lumps or other hardenings. This palpation examination should also be carried out regularly by every man on himself in order to detect changes at an early stage. If there is a justified suspicion of a disease, an ultrasound of the testicles and epididymis can be performed.
An ultrasound examination can also be performed for diagnostic purposes. In addition, a blood count is usually taken to monitor the progress of the disease. There are certain tumor markers that are detected in the blood.
Elevated tumor markers alone, however, do not prove the presence of malignant cancer, but can also be elevated in the case of inflammation. It is particularly typical for an inflammation that the number of white blood cells (leukocytes), which are responsible for the body’s own defense system, is increased. If a tumor disease is suspected, the abnormal tissue is examined by means of biopsy.
The doctor cuts a small piece of tissue from the testicle, which is then examined in the laboratory by the tissue doctor (pathologist). When the testicle is removed, the prostate does not normally need to be examined in young men. This is only carried out if there is a reasonable suspicion that there is also a disease of this organ.
