Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
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Subject: Re: extremely enlarged testis
Scrotal masses may consist of infection (epididymo-orchitis), epididymal cyst, fluid around the testicle (hydrocele), blood around the testicle (hematocele) or a tumor within the testicle. Another cause of a scrotal mass which is not of testicular origin may be a hernia in which a loop of bowel has migrated from the abdomen into the scrotum. To determine if the mass is inside the testicle, a physical exam and possibly an ultrasound of the scrotum should be performed. A patient with a solid, firm, intra-testicular mass is testicular cancer until proven otherwise. The cancer is usually painless. It most commonly affects 20-40 year old men. Whites are affected 3 X more than blacks. Risk factors include prior testicular tumor and cryptorchidism (undescended testis). Your friend should see a Urologist as soon as possible for evaluation. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians' notes and lab test results that you may be able to obtain. These will help us greatly.
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