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Swelling and pain in the testicle is usually either a hydrocele (collection of fluid around the testis) or an infection of the testicle (orchitis). Hydroceles larger than 5cm in diameter usually are painful or make sitting and/or exercise uncomfortable. In this instance, either drainage of the fluid pocket in the office or surgery to remove the hydrocele is recommended. Surgical correction is the gold standard treatment to fix the problem.

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