Can Scar Tissue on the Left Testicle Be Removed? Urology Insights

Q: Can Scar Tissue on the Left Testicle Be Removed? Urology Insights

Hello： Personally, I do not recommend surgery unless there is a compelling reason to do so. <br>It is best to avoid unnecessary intervention on the testicles. <br>Wishing you good health.

Is it possible to remove a scar from a previous injury on the left testicle?

Hello Doctor: A few years ago, I accidentally injured my left testicle, causing a rupture of a larger blood vessel within the testicle and resulting in a hematoma.
Fortunately, I did not require surgery, and the hematoma resolved naturally.
Follow-up ultrasounds have shown that the testicle has healed.
However, according to the doctor at that time, there is some scar tissue left on the testicle, which has altered its shape to resemble that of a testicle bound by a string (similar to a gourd shape with a rubber band in the middle of a boiled egg).
It seems that there is also a slight adhesion to the inner side of the scrotum, and the scarred area has made the left testicle feel firmer than the normal right testicle, although it still has some elasticity.
There is no pain or inconvenience in daily life, and my sexual function is completely normal.
However, I find the appearance of the left testicle to be less than aesthetic.
I would like to inquire if there are any surgical options available to remove the scar tissue from the testicle, and I am also interested in separating the adhesion between the scrotum and the testicle.
I have searched extensively online but have not found relevant surgical information.
I would greatly appreciate your guidance on this matter.
Thank you.

RML, 20~29 year old female. Ask Date: 2021/03/19

Dr. Du Shixi reply Urology

Hello: Personally, I do not recommend surgery unless there is a compelling reason to do so.
It is best to avoid unnecessary intervention on the testicles.
Wishing you good health.

Reply Date: 2021/03/19

More Info

When it comes to the management of scar tissue on the left testicle, particularly following an injury that resulted in a hematoma, there are several important considerations to keep in mind. The presence of scar tissue can lead to changes in the shape and texture of the testicle, as you have described. While the scar tissue itself may not cause pain or functional issues, it can be a source of concern for aesthetic reasons.

1. Surgical Options for Scar Tissue Removal: Yes, there are surgical procedures that can be performed to address scar tissue on the testicle. This type of surgery typically falls under the category of urological procedures. The specific approach would depend on the extent of the scar tissue and any associated adhesions between the testicle and the scrotum. A urologist can perform a procedure called a "scrotal exploration," which allows for direct visualization of the testicle and surrounding structures. During this procedure, the surgeon can assess the scar tissue and, if deemed appropriate, excise it. Additionally, if there are adhesions, these can often be released to restore normal anatomy.

2. Risks and Considerations: As with any surgical intervention, there are risks involved, including bleeding, infection, and potential damage to the testicle or surrounding structures. It is crucial to have a thorough discussion with your urologist about the potential benefits and risks of the surgery. They will evaluate your specific case, including the condition of the testicle and the surrounding tissues, to determine if surgery is advisable.

3. Aesthetic Concerns: Many patients seek surgical intervention for aesthetic reasons, especially if they feel self-conscious about the appearance of their testicles. While surgery can improve the appearance, it is essential to have realistic expectations about the outcomes. The goal of surgery would be to remove the scar tissue and any adhesions, which may improve the shape and texture of the testicle, but the final result can vary.

4. Postoperative Care: If you proceed with surgery, your urologist will provide specific postoperative care instructions. This may include pain management, activity restrictions, and follow-up appointments to monitor healing. It is important to adhere to these guidelines to ensure optimal recovery.

5. Consultation with a Urologist: Given your situation, it is highly recommended that you consult with a urologist who specializes in male reproductive health. They can provide a comprehensive evaluation and discuss the best course of action tailored to your needs. They may also perform imaging studies, such as an ultrasound, to assess the current state of the testicle and surrounding tissues before making any surgical recommendations.

In summary, while scar tissue on the left testicle can be addressed surgically, it is essential to consult with a qualified urologist to evaluate your specific case. They can provide guidance on the potential for surgery, the risks involved, and the expected outcomes, ensuring that you make an informed decision regarding your health and aesthetic concerns.

Similar Q&A

Does Testicular Atrophy from Epididymitis Require Surgical Removal?

Hello doctor, about three years ago, I had left epididymitis that did not improve and my left testicle swelled to about twice its size. After being referred to Mackay Memorial Hospital, it got better, but since then, my left testicle has continued to shrink and has now become ver...

Dr. Du Shixi reply Urology
Hello: 1) Tissue destruction after inflammation is not significantly related to blood vessels. 2) I haven't heard of any cases requiring removal for this reason. Wishing you good health.

Understanding Male Vasectomy: Scarring and Recovery Time Explained

Hello, doctor: Will male sterilization leave a scar? How long will the wound take to heal? Thank you for your response.

Dr. Peng Yiguo reply Obstetrics and Gynecology
Male sterilization can be performed by palpating the vas deferens on either side of the scrotal wall. The incision is approximately 0.5 centimeters and can also be made from the bottom of the scrotum, resulting in only one incision. Generally, it does not leave a scar, and the in...

Understanding Testicular Pain: Causes, Healing, and Treatment Options

During high school, I was accidentally hit in the left testicle by a classmate. Since then, I have frequently experienced sharp (stabbing) pain in the left testicle, accompanied by a sensation of heat in my body during episodes of pain. When the pain occurs, I feel the urge to sq...

Dr. Liu Jianting reply Urology
It's quite remarkable that you have endured intermittent pain in your left testicle for over 20 years. The male reproductive organs are located externally, making them susceptible to injury. However, urinary tract infections can sometimes lead to epididymitis, and both condi...

Understanding Cryptorchidism: Concerns and Treatment Options for Young Adults

I am a 21-year-old student who has had unilateral cryptorchidism (left side) since childhood. I underwent surgery to retrieve the testicle from the abdomen and place it back in the scrotum, but the retrieved testicle has not grown since then, resulting in a size discrepancy betwe...

Dr. Chen Zhihong reply Urology
In cases of cryptorchidism, the testicles may have inherent functional abnormalities from birth. If surgery is performed after the age of 2, there is a risk of testicular atrophy as the individual grows older (the older the patient at the time of surgery, the more severe the atro...