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Urology (Expert Forum)
testical
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.
testical
by bob__0__0, Jan 12, 1999 12:00AM
my doc says i may have fluid in my testical i had a sonigarm im just wating what is this an what cause it it hurts
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Dear Bob,
I’m not sure you have fluid in your testicle, but rather around your testicle. It is not uncommon for a patient to have pain with a hydrocele. In fact that is one of the indications to operate on a patient with a hydrocele. A hydrocele is simply a fluid collection in the sac (Tunica Vaginalis)surrounding the testicle. It consists of fluid that is not reabsorbed by the body. Most hydroceles grow to a certain size and then stabilize. They are acutely caused by local injury, radiotherapy, acute nonspecific or Tuberculous epididymitis, or orchitis. It could even occur secondary to a neoplasm.
A chronic hydrocele is more common, it usually occurs in men past the age of 40. A very tense hydrocele can decrease the circulation to the testicle and cause atrophy(shrinking) and pain. This later type of hydrocele is more likely your problem.
Your ultrasound result is difficult for me to assess because I cannot see the film. As long as the testicle could be visualized with good flow and no evidence of any masses, more that not the testicle should be fine.
The only indications for an operation are pain, infection, disabling size, compromised flow to the testicle or cosmetic purposes. Otherwise a stabilized hydrocele will not cause you a problem.
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:Hydrocele
=========================================================
Dear Bob,
I’m not sure you have fluid in your testicle, but rather around your testicle. It is not uncommon for a patient to have pain with a hydrocele. In fact that is one of the indications to operate on a patient with a hydrocele. A hydrocele is simply a fluid collection in the sac (Tunica Vaginalis)surrounding the testicle. It consists of fluid that is not reabsorbed by the body. Most hydroceles grow to a certain size and then stabilize. They are acutely caused by local injury, radiotherapy, acute nonspecific or Tuberculous epididymitis, or orchitis. It could even occur secondary to a neoplasm.
A chronic hydrocele is more common, it usually occurs in men past the age of 40. A very tense hydrocele can decrease the circulation to the testicle and cause atrophy(shrinking) and pain. This later type of hydrocele is more likely your problem.
Your ultrasound result is difficult for me to assess because I cannot see the film. As long as the testicle could be visualized with good flow and no evidence of any masses, more that not the testicle should be fine.
The only indications for an operation are pain, infection, disabling size, compromised flow to the testicle or cosmetic purposes. Otherwise a stabilized hydrocele will not cause you a problem.
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:Hydrocele
