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Urology (Expert Forum)
Testicular swelling/discomfort
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.
Testicular swelling/discomfort
by Samuel Cohen, Nov 13, 1999 12:00AM
To whom it may concern:
10 years ago, I had a varicocele surgery and since then, the pain on my left testicle dissapeared.
Now, I am afraid that because of my active sexual life and perhaps of excessive masturbation, I feel a swelling and a lot of discomfort on the left testicle again. But this thime, it feels like the left testicle is submerge or surrounded by fluids and it is not the same pain as the one I had when I had the varicocele. In addition, every time I masturbate, it causes a lot of pain and discomfort.
My question is what could be the source of this discomfort?
What are the consequences of excessive masturbation? Can it be the case that the varicocele reincurred?
What is the treatment for this type of discomfort (feeling that the left testicle is liquid or surrounded by fluids)?
Thank you very much for your help and/or suggestions...
Samuel Cohen
10 years ago, I had a varicocele surgery and since then, the pain on my left testicle dissapeared.
Now, I am afraid that because of my active sexual life and perhaps of excessive masturbation, I feel a swelling and a lot of discomfort on the left testicle again. But this thime, it feels like the left testicle is submerge or surrounded by fluids and it is not the same pain as the one I had when I had the varicocele. In addition, every time I masturbate, it causes a lot of pain and discomfort.
My question is what could be the source of this discomfort?
What are the consequences of excessive masturbation? Can it be the case that the varicocele reincurred?
What is the treatment for this type of discomfort (feeling that the left testicle is liquid or surrounded by fluids)?
Thank you very much for your help and/or suggestions...
Samuel Cohen
Doctor's Answer
by hfhs M.D.-AK, Nov 15, 1999 12:00AM
Dear Samuel,
It is difficult to comment on this mass because I don’t 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, recurrent varicocele, 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. Most likely you have a spermatocele or a hydrocele which I will discuss in detail. I don’t think either is related to masturbation. There should be not internal consequences to excessive masturbation. I have heard of skin problems due to certain lubricants.
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. The most important part of diagnosis is to make sure there is no cancerous lesion. Again this can be done by a good physical exam or ultrasound.
A hydrocele is a collection of fluid around the testis inside of the tunica vaginalis. It is usually benign, but sometimes it can be a malignant process. Again, an ultrasound would clear this question.
I can’t tell you if this is a cancerous lesion over the internet. If you have a lump in your scrotum you need to be examined by a physician who can decide if you need an ultrasound.
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
It is difficult to comment on this mass because I don’t 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, recurrent varicocele, 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. Most likely you have a spermatocele or a hydrocele which I will discuss in detail. I don’t think either is related to masturbation. There should be not internal consequences to excessive masturbation. I have heard of skin problems due to certain lubricants.
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. The most important part of diagnosis is to make sure there is no cancerous lesion. Again this can be done by a good physical exam or ultrasound.
A hydrocele is a collection of fluid around the testis inside of the tunica vaginalis. It is usually benign, but sometimes it can be a malignant process. Again, an ultrasound would clear this question.
I can’t tell you if this is a cancerous lesion over the internet. If you have a lump in your scrotum you need to be examined by a physician who can decide if you need an ultrasound.
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
Member Comments (19)
by jme, Nov 16, 1999 12:00AM
To: Misc.
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by Samuel C, Nov 17, 1999 12:00AM
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by Rob, Nov 18, 1999 12:00AM
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by samuel, Nov 18, 1999 12:00AM
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by johnny gonzález, Nov 18, 1999 12:00AM
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by Chuck, Nov 24, 1999 12:00AM
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by Robert W., Nov 25, 1999 12:00AM
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by JAMES F.GREPPIN, Nov 26, 1999 12:00AM
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by C.J., Dec 20, 1999 12:00AM
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by j.e., Jan 10, 2000 12:00AM
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by chris, Jan 18, 2000 12:00AM
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by Paul, Mar 02, 2000 12:00AM
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by Samuel Cohen, Mar 15, 2000 12:00AM
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by steve, Mar 19, 2000 12:00AM
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by ASIF RIZVI, Apr 16, 2000 12:00AM
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by ASIF RIZVI, Apr 16, 2000 12:00AM
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by jeff lord in new york, Apr 26, 2000 12:00AM
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by robert c. mcgaffick, May 08, 2000 12:00AM
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by David Morgan, May 26, 2000 12:00AM
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by Ron, Jul 13, 2000 12:00AM
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by John V., Jul 14, 2000 12:00AM
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by George K., Aug 02, 2000 12:00AM
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