Enlarged Teste

    I am a eighteen year old white male, who has noticed that his left teste is twice the size of the right.  There is sometimes pain but not all the time. I did chew tobacco for about three weeks but I have quit and have not had a chew since.  I stopped about six weeks ago.  I have no idea what this is any idea

[HFHS M.D.-AT]

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Dear Tim,
Thanks for your question.
There may be minimal asymmetry in the testicular size between right and left but one of them should not be double in size.  There may be several reasons for enlargement of the scrotal contents including enlargement of testis itself (infection, tumor), hydrocele (collection of fluid around  the testis or along the cord) or a hernia. There are also rare tumors of the cord structures. In any event, you need a medical consultation to ensure that it is not some kind of tumor.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. The Henry Ford Hospital Department of Urology has experience in the evaluation and treatments of problems such as you describe. We would be most interested in helping you. You can reach us through our toll-free number (1-800-653-6568).
We can also arrange local accommodations through this number if this is your need. Please bring any x-rays (not just the reports) as well as any physicians' notes and lab test results that you may be able to obtain. These will help us greatly.
Sincerely,
HFHS M.D.-A.T.
*keyword: Testicular swelling