enlarged testicle

I'm 54 years old and have regular yearly exams. I've always had one testicle that was larger then the other. Resently I've noticed that the larger testicle has got a lot larger. I can't tell if its the testicle or the sack around it that's enlarged, but I think it's around it and growing. I don't have any pain or tenderness of any kind and no other problems. (everythings works fine) I have about 6 to 8 weeks till my next doctors visit, should I go in before that.

[Ash Tewari, MD, M.Ch.]

Emlargement of the sac around the testicle is due to fluid collection in it- a condition called hydrocele. Hyodroceles are benign conditions and may need surgery if they are large or causing discomfort. Hydroceles, beacuse of the fluid in them feel different from tumors; tumors are usually solid and feel harder.

Rarely underlying testicular tumors may be associated with hydroceles-if the hydrocele is lax, it is possible to feel the tumor through it. However if the hydrocele is tense and the index of suspicion is high, a sonogram will need to be done.

A physical examination, and sonogram will confirm the findings. If you feel the 'enlargement' has been rapid, there is pain or fever, or the swelling has a very solid feel you should go in before you regular appointment at 6-8 weeks