Testicular Issues: Is That Thick Connection Normal? - Urology

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Testicular issues


Hello doctor, I noticed while showering that there is a thick connection under the base of my penis, linking to the left and right sides of my testicles.
It doesn't hurt when I touch it, but it seems a bit sensitive.
I'm wondering if this is a blood vessel and if it's normal.
I found online that if there are small worm-like structures above the testicles, it could be varicocele, but mine is not above the testicles; it's at the connecting area, and it feels really thick.
Should I go to the urology department at the hospital, or is this just a normal blood vessel?

b, 20~29 year old female. Ask Date: 2020/04/29

Dr. Du Shixi reply Urology


Hello: If there is a rubber band-like texture, it may be the vas deferens.
If it is a blood vessel, it will be intermittently prominent.
Wishing you good health.

Reply Date: 2020/04/29

More Info


When it comes to testicular health, it's important to understand the anatomy and the potential variations that can occur. The thick connections you are feeling at the base of the penis, where it connects to the testicles, could be a number of things, but they are often related to the vascular structures in that area.

Firstly, it is normal for the scrotum and the area around the testicles to have various blood vessels and connective tissues. The spermatic cord, which contains blood vessels, nerves, and the vas deferens, runs from the abdomen to each testicle. It is not uncommon for individuals to notice these structures, especially if they are more prominent due to factors such as temperature changes, physical activity, or even just normal anatomical variation.

If you are feeling a thick, rope-like structure, it could indeed be a blood vessel, such as a vein or artery. However, if you are concerned about the possibility of a varicocele (which is an enlargement of the veins within the scrotum), it is important to note that varicoceles typically present as a "bag of worms" feeling above the testicle rather than at the base. They can cause discomfort or a dull ache, especially after prolonged standing or physical activity.

In your case, since you mentioned that the area is sensitive but not painful, it might just be a normal anatomical feature. However, if you notice any changes such as swelling, pain, or if the sensitivity increases, it would be wise to consult a healthcare professional. A urologist can perform a physical examination and, if necessary, an ultrasound to rule out any underlying conditions.

Additionally, it’s important to monitor for any other symptoms that might indicate a problem, such as changes in testicular size, lumps, or any unusual discharge. Regular self-examinations can help you become familiar with your anatomy and detect any changes early.

In summary, while the thick connections you are feeling may be normal anatomical structures, it is always best to err on the side of caution. If you have any doubts or if the situation changes, seeking a professional opinion is the best course of action. Your health and peace of mind are paramount, and a urologist can provide you with the reassurance and information you need.

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