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1.The history suggest the possibilities
hematoma formation after trauma, or partial ischemic changes in the testis.
2.There is no remedy in this case - you need to evaluate the cause of the symptoms and treated accordingly.
3.The investigation of choice is
ultrasound scrotum - ultrasound will help to assess the vascularity presence of any partial cessation of the blood supply, hematoma, free fluid.
4.And status of the testicular parenchyma,
epididymis, chord status and venous channels.
5.Treatment in this case will be antibiotic course with symptomatic treatment - good after evaluation of the cause. Good luck.
Hope i have answered your query.
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