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Urology (Expert Forum)
Re: left testical much bigger then right one!!!
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Re: left testical much bigger then right one!!!
by ALEX__0, Jan 01, 1995 12:00AM
Posted By ALEX on May 27, 1999 at 16:02:09
Im 16 and for the last year or so I noticed my left testical growing much bigger then my right one. It is now atleast 3 times as big as my right testical and still growing. It also is pretty long with a thick part of it growing up in to my bodie. I was wondering what may be the cause of this or if it might be testicular cancer? I am also woundering if i should go see a doctor?
Im 16 and for the last year or so I noticed my left testical growing much bigger then my right one. It is now atleast 3 times as big as my right testical and still growing. It also is pretty long with a thick part of it growing up in to my bodie. I was wondering what may be the cause of this or if it might be testicular cancer? I am also woundering if i should go see a doctor?
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Dear Mike,
It is difficult to comment on this mass because I dont have the opportunity to examine you. There are several structures and potential abnormalities that can account for the description you gave. These are namely a spermatocele, hydrorocele, varicocele,epididymitis, or hernia. All of these can be better characterized on physical exam. If there is any question, an ultrasound can be obtained to determine if the mass is intratesticular or extratesticular. There is a big difference if the mass is coming or growing inside the testicle or from the surrounding structures.
A spermatocele is a cystic structure or outpouching of the epididymus. The cyst itself is usually firm and nontender. It is usually filled with sperm and epididymal fluid and considered a benign lesion. It is possible for it to lead to a decrease in fertility however this is uncommon. A hydrocele is a collection of fluid around the testicle and is benign. A varicocele is a collection of dilated veins surrounding the spermaticord which attaches to the testicle. These veins can become quite dilated and may appear as a large mass. Epididymitis is an infection of the epididimus which can cause a great deal of tenderness and swelling. And finally a hernia, this is an outpouching of bowel from the abdomen. It is possible for the bowels to enter the scrotum and surround the testicle. However, the most important part of your diagnosis is to make sure there is no cancerous lesion. Again this can be done by a good physical exam or ultrasound.
I certainly cant tell you if this is a cancerous lesion over the internet. Without examining you, I dont want to comment on whether you should go to the urologist or to you family doctor. If you have a lump in your scrotum you need to be examined by a physician and bring it to his attention. If there is any question, an ultrasound should be performed to make sure there is no testicular cancer.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Scrotal Mass
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