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Urologic Cancers (Expert Forum)
enlarged testicle
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer
New York - NY
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enlarged testicle
by w1j, Jun 10, 2007 12:00AM
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.
Doctor's Answer
by Ash Tewari, MD, M.Ch., Jun 11, 2007 12:00AM
, Jun 11, 2007 12:00AM
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
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
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