Groin Sensations: When to Consult a Urologist

Please ask your question?

Hello doctor, I noticed while standing in the shower that there is a thick cord-like structure on the left side at the base of my penis where it connects to the testicle.
It doesn't hurt when I touch it, but it feels a bit sensitive.
I'm wondering if this could be a blood vessel and if it's normal.
Later, I checked the right side and found a similar structure.
I'm concerned it might be a varicocele or some other issue, but what I found online describes small, worm-like veins above the testicles, whereas mine is located at the connection point and feels quite thick.
I'm not sure if it's normal to have two thick structures on both sides.
Should I see a urologist for this? Thank you for your guidance.

As, 10~19 year old female. Ask Date: 2020/04/29

Dr. Du Mingyi reply Urology

That is the normal condition of the vas deferens.

Reply Date: 2020/04/29

More Info

When it comes to sensations in the groin area, particularly around the base of the penis and the connection to the testicles, it’s important to understand the anatomy and potential conditions that could be involved. The structures you are feeling could be normal anatomical features, such as blood vessels or the spermatic cord, which contains veins, arteries, and nerves that supply the testicles. However, if you are noticing changes or if there is any discomfort, it is wise to consult a urologist.

Understanding the Anatomy
The area you are describing includes the spermatic cord, which runs from the abdomen to the testicles. This cord contains the vas deferens (the duct that carries sperm), blood vessels, and nerves. It is normal for these structures to be palpable, and they can sometimes feel prominent, especially if you are standing or in certain positions.

Possible Conditions
1. Varicocele: This is a condition characterized by enlarged veins within the scrotum, similar to varicose veins in the legs. It often presents as a "bag of worms" feeling but can also be felt as a prominent cord-like structure. Varicoceles are usually not painful but can cause discomfort or a feeling of heaviness.

2. Hydrocele: This is a fluid-filled sac surrounding a testicle that can cause swelling. It may not necessarily feel like a cord but can create a noticeable bulge.

3. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can sometimes be felt as a lump in the groin or scrotum, especially when standing or straining.

4. Epididymitis or Orchitis: Inflammation of the epididymis or testicle can cause swelling and tenderness, but these conditions usually present with pain and swelling rather than just a prominent vein.

When to Consult a Urologist
Given that you are feeling a prominent structure that is sensitive but not painful, it is advisable to consult a urologist if:
- You notice any changes in size or shape of the structures.

- There is any pain, swelling, or discomfort that persists.

- You experience any other symptoms such as changes in urination, blood in urine, or unusual discharge.

- You have concerns about the appearance or feel of the area that are causing anxiety.

Conclusion
While it is possible that what you are feeling is normal anatomical variation, it is always better to err on the side of caution when it comes to your health. A urologist can perform a physical examination and may recommend an ultrasound or other imaging studies if necessary to rule out any underlying conditions. Early diagnosis and treatment can prevent potential complications, especially if a condition like a varicocele or hernia is present.
In summary, if you have any doubts or concerns about the sensations you are experiencing in your groin area, it is prudent to seek medical advice from a urologist. They can provide reassurance, diagnosis, and treatment options tailored to your specific situation.

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