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Hi there. I need some expert help. When I get erection my entire scrotum swells up -- almost the size of a half apple. I originally thought I had a scrotal hernia; however, I've been seeing a Urologist and I also had Ultrasound (Sonogram) test of my scrotum and NO inguinal hernia was found.
My test results stated: "Prominent veins at the base of the penis superficially, perhaps representing varicosities. Real-time ultrasound of the scrotum shows both testes to be normal in size and echotexture."
When my penis is in a flaccid state, I can still feel the mass inside, but it's much smaller than when my penis becomes erect. The mass is very squishy and soft. When my penis becomes erect however, my entire scrotum becomes enlarged that starts from the base of my penis that goes to the perineum region. Inside my scrotum when I have an erection, it feels almost like my inner penis is being pushed out because this 'mass' is hard like an erection. When my penis is fully erect, this mass is so large that it fills up my scrotum and pushes my testicles outward. Very rarely I have testicle pain, and on a couple of occasions one of my testicles swelled up. After I urinate, I have to push on my scrotum to get all the urine to come out, almost like it's stuck inside. My urine stream is normal and I have no difficulty at all starting urination.
My Urologist seems convinced that I have a vein that is being engorged when I have an erection which is causing this mass, but this doesn't seem correct to me because my entire scrotum swells up -- it's not just a vein. He wants to surgically remove a vein. I took a urine test, and it's confirmed that I have a urinary infection. My penis is often very cold and is much smaller than it used to be when flaccid, like I'm not getting nearly enough blood circulation there. Starting and maintaining an erection is difficult. I asked to have a CT scan and they're going to do that soon. I want to have surgery to correct my problem but I want to make sure that they correct what's actually wrong with me.
I had this condition for about two years. It hasn't gotten any worse, but it hasn't gotton any better either.
--Scrotal mass when I have an erection
--Penis is usually very cold. When flaccid, my penis can be thin and firm, sometimes the head of my penis is a slight bluish color
--After I urinate, I have to push on scrotum to finish
If I don't have a scrotal hernia, what else could be the problem?
Will the CT exam find what's wrong with me?
Thank you so much.
Here are some more pictures. Note: these were all taken in one session. You can clearly see how large this mass is near the base of my penis.
I also wanted to mention that the mass (or swelling) in my scrotum seems to be more located on the right side. Also, my right testicle hangs much lower than the left since this affliction began, and is very noticeable even when I'm lying down. My right testicle never hanged this low before then. This mass is completely painless though. Thank you again.
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