Male Urological Issues: Pain, Varicocele, and Foreskin Concerns - Urology

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I would like to inquire about urology-related issues?


Male Function: Recently, I went to the hospital for an examination because I have been experiencing pain in my right testicle, similar to a twisted muscle, for the past three weeks.
I also feel a heaviness in my right groin area.
However, the examination is taking a long time, so I went to another clinic for an X-ray.
It confirmed the presence of a varicocele on the right side.
I am still waiting for further examinations at two other hospitals, which have not yet been completed.

Regarding my foreskin issue, hello doctor.
Normally, I take a shower once a week and make sure to clean thoroughly without excessive force, as I still have foreskin.
Currently, my foreskin has grown a bit, and sometimes I notice signs similar to peeling.
Is this due to the foreskin being too long? Even when I have an erection, the glans does not automatically become exposed, resembling phimosis.
In this case, would I need a circumcision? Can the urologist perform a minor procedure for both the varicocele and the foreskin issue at the same time? Additionally, I have previously experienced difficulties with hardness during erections, which has been a concern for me.
I would appreciate your guidance on this matter.
Thank you, doctor.

Niming, 30~39 year old female. Ask Date: 2018/08/27

Dr. Du Mingyi reply Urology


Surgery can certainly be performed together.

Reply Date: 2018/08/27

More Info


When it comes to male urological issues, understanding the underlying causes and potential treatments is crucial. Your concerns about pain in the right testicle, varicocele, and foreskin issues are valid and warrant a thorough discussion.


Testicular Pain and Varicocele
The pain you are experiencing in your right testicle, along with the feeling of heaviness in your groin, could indeed be related to the diagnosis of a varicocele. A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins that occur in the legs. This condition can lead to discomfort and is often associated with infertility issues due to its impact on testicular temperature regulation and blood flow.

The pain associated with a varicocele can vary from a dull ache to sharp pain, especially after prolonged standing or physical activity. It’s essential to follow up with your healthcare provider for further evaluation, which may include an ultrasound to assess the severity of the varicocele and determine the best course of action. Treatment options can range from conservative management, such as wearing supportive underwear, to surgical interventions if the varicocele is causing significant pain or fertility issues.


Foreskin Concerns
Regarding your foreskin issues, it sounds like you may be experiencing symptoms of phimosis, where the foreskin cannot be easily retracted over the glans (the head of the penis). This condition can lead to hygiene difficulties and discomfort, especially during erections. The peeling or shedding skin you mentioned could be a sign of irritation or inflammation, which might occur if the foreskin is too tight or if there is insufficient lubrication during sexual activity.

If you find that the foreskin is consistently causing problems, such as pain or difficulty with hygiene, a circumcision may be considered. This procedure involves the surgical removal of the foreskin and can alleviate the issues associated with phimosis. It is advisable to discuss this with your urologist, who can provide guidance based on your specific situation and the severity of your symptoms.


Combined Surgical Approach
You asked whether both the varicocele and foreskin issues could be addressed in a single surgical procedure. In many cases, urologists can perform multiple procedures during one surgical session, depending on the complexity and the patient's overall health. This approach can minimize recovery time and reduce the need for multiple anesthetic exposures. However, the decision will ultimately depend on the specifics of your case, including the severity of the varicocele and the condition of your foreskin.


Erectile Dysfunction Concerns
You also mentioned concerns about erectile dysfunction (ED) and hardness issues. ED can stem from various factors, including psychological issues, hormonal imbalances, or physical conditions such as vascular problems. It’s important to have an open discussion with your healthcare provider about these concerns, as they can help identify the underlying causes and recommend appropriate treatment options, which may include lifestyle changes, medications, or therapy.


Conclusion
In summary, your symptoms of testicular pain, varicocele, and foreskin issues are interconnected and require a comprehensive evaluation by a urologist. It’s essential to address these concerns promptly to prevent complications and improve your quality of life. Don’t hesitate to ask your healthcare provider about the possibility of combining surgeries and the best treatment options for your erectile dysfunction. Remember, open communication with your doctor is key to finding the right solutions for your urological health.

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