Hi Doc My Question Is For A Urologist I Have

Posted on Mon, 23 Sep 2019

Question: Hi doc
My question is for a urologist I have uploaded two images. My concern is the shape and size of my left testicle.

1) it hangs much lower.
2) when it is loose I can’t see any swelling and the testicle size feels the same.
3) when testicle are closer to my body.. I can see the left on hangs lower. I have attached two images for you to look at does the left testicle look normal to do. I am sure you can see from the shape and size. My worries were a hydrocele but I’m guessing if this was the case it would be in the front part of the testicle and wouldn’t be found at the bottom where the epidiymis tail is you know that pointy bit on the bottom?

I did get checked by a doctor last year and regularly look out for any changes.

Answered by Dr. Dr. P. T. Patil (58 minutes later)

Brief Answer:
Consult qualified General surgeon for clinical examination .

Detailed Answer:
Hello
Thanks for query .

Based on the facts and photographs that you have posted I would like to answer your queries as detailed below

1) In almost every individual left testicle is at lower level than its counterpart .It is normal and not to be worried about .

2) Size of the both the testicles are not identical .It is only to be concerned only when one is comparatively noticeably larger than other .As per your photographs both the testicles are normal .

3) As regards Hydrocele it is very difficult to differentiate minimal hydrocele from normal testicle .It can be confirmed only by clinical examination in person and by doing Ultrasound Scanning Of Scrotum.As such minimal hydrocele has no significance .

Consult qualified General surgeon for clinical examination to confirm the same .It will help to allay your anxiety .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (2 hours later)

Hi DR XXXXXXX thanks for your reply.

I have a few follow up questions

I have uploaded two photographs of my left testicle does this still look normal it is from behind the testicle?

One I have left a green mark on is it normal for the testicle to have such a anatomy?

I had a examination from my GP somewhat last year and he said the testes is normal

Just thinking outside the box
1] Does hydrocele effect fertility?

My understanding of a hydrocele is - that it forms and can dilute sperm as water is in the testicle?

2) Is hydrocele in contact with the testicle or would it be in a membrane before and have no contact with testicle or other organs.

3) do spermatocele or hydrocele effect fertility.

4) is it normal to have some water surrounding the testicle? I’m guessing the amount differs in men.

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

5) I have also attached a picture of my testicles in the attached state.

6) green arrow image - is that the epidydimis tail? And normal anatomy

Thanks doctor this is my final question

Answered by Dr. Dr. P. T. Patil (49 minutes later)

Brief Answer:
No abnormality is detected as per Photographs

Detailed Answer:
Hello
Thanks for follow up
It is difficult to comment about epididymis or any abnormality either in testis or epididymis on viewing photographs .
It is the clinical examination by a qualified General surgeon or Urologist who can comment about it .

Answers to your questions are detailed below

1)Hydrocele is collection of fluid outside testicles and it never comes in contact with sperms hence there is no question of diluting sperms .

2) The testicle is covered a very thin membranes called as Tunica Vaginalis which has two layers The inner layers secrete a watery and oily fluid that gets absorbed by outer layer .This is a continuous process and keeps the testicle freely XXXXXXX in side the sac.However whenever there is infection in scrotum (Testis) inner layer secrets more fluid than what is absorbed by outer layer, disturbing the natural balance of this process of secretion and absorption and this extra fluid gets accumulated between these two layers that cover testicle that is what is called as Hydrocele

3) Spermatocele or Hydrocele do not affect fertility.

4) Testicle is always immersed (Covered)in a small quantity of fluid which I have explained above .

5) The normal anatomy either Testis or Epididymis can be commented only on palpation of the testicle in person and can not be opined on photograph.

Consult qualified general Surgeon or Urologist for clinical examination to help yourself to be free from anxiety .

Thanks and Regards.
Dr Patil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (52 minutes later)

Thanks Dr XXXXXXX
Final question

Can a hydrocele be found on the bottom part of the testicle where the heads tail is? Or does it usually arise from the top.

I don’t need any check up ur advice and reassurance is enough I’m a young man need to enjoy my life!

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Hydro electric involves entire testis

Detailed Answer:
Hello
Thanks for follow up
Hydrocele is collection of fluid around entire testis.

I would suggest you to consult Urologist for clinical examination

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (16 hours later)

Answered by Dr. Dr. P. T. Patil (20 minutes later)

Brief Answer:
Please write your question

Detailed Answer:
Hello
There is no query.
Please do write your question .I would be happy to address your concern

Thanks and Regards.
Dr Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar