Testicular Asymmetry and Post-Circumcision Concerns - Urology

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Testicular and foreskin issues?


One testicle is higher than the other (right higher, left lower), and one is larger than the other (right larger, left smaller).
What could be the issue? It has been over a month since I had a circumcision on June 31, but the area where the stitches were is still noticeably marked.
Is this normal?

Qing Ling Lu Cha, 20~29 year old female. Ask Date: 2020/09/09

Dr. Du Shixi reply Urology


Hello: One testicle is higher than the other (right higher, left lower), and one is larger than the other (right larger, left smaller).
What could be the issue? --> This is normal; just be aware of any lumps, and seek medical attention if necessary.
I had a circumcision on June 31, and it has been over a month since the stitches were removed, but there is still a noticeable ring where the stitches were.
Is this normal? --> As long as there is no discharge from the wound, it is normal and will gradually fade.
Wishing you good health.

Reply Date: 2020/09/09

More Info


Testicular asymmetry, where one testicle is positioned higher or lower than the other, or where one is larger than the other, is quite common and often considered normal. In most males, the left testicle typically hangs lower than the right, and variations in size are also common. This asymmetry can be attributed to several factors, including anatomical differences, the position of the spermatic cord, and the natural development of the testicles.
However, if you notice a significant change in size or position after a surgical procedure, such as circumcision, it is important to consult with a healthcare professional. In your case, you mentioned that you had a circumcision on June 31 and that it has been over a month since the procedure. The presence of a noticeable scar or a ring around the sutured area is not uncommon, as healing can take time and the appearance of the scar may change as it matures.
Post-circumcision, it is essential to monitor the healing process. Here are some key points to consider regarding your concerns:
1. Healing Process: After circumcision, it is normal for the area to be sensitive and for there to be some swelling or discoloration. The stitches used during the procedure may take several weeks to dissolve, and the area may appear raised or have a ring-like appearance as it heals. If the scar is not painful and there are no signs of infection (such as increased redness, warmth, or discharge), it is likely part of the normal healing process.

2. Testicular Position and Size: As mentioned earlier, testicular asymmetry is common. However, if you experience pain, discomfort, or any sudden changes in the size or position of the testicles, it is crucial to seek medical advice. Conditions such as testicular torsion, hydrocele, or varicocele can cause changes in testicular position or size and may require medical attention.

3. Follow-Up Care: It is advisable to have a follow-up appointment with your healthcare provider to discuss your concerns about the testicular asymmetry and the healing of the circumcision site. They can perform a physical examination and provide reassurance or treatment if necessary.

4. When to Seek Help: If you experience any of the following symptoms, you should seek medical attention promptly:
- Severe pain in the testicles or groin
- Swelling or a noticeable change in the size of one testicle
- Fever or chills
- Discharge from the circumcision site
- Any other unusual symptoms that concern you
In summary, while testicular asymmetry is generally normal, it is essential to monitor your healing process after circumcision and consult with a healthcare professional if you have any concerns. They can provide you with personalized advice and reassurance based on your specific situation. Remember, your health and peace of mind are paramount, so do not hesitate to reach out for professional guidance.

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