Enlarged and Drooping Testicle: Should You Seek Treatment?

Testicular swelling and sagging?

When I was 16 years old, I was hit in the groin while playing baseball.
Although my penis was very painful at the time, I did not seek medical attention.
The pain subsided after a night, but my right testicle became enlarged.
I initially thought it would gradually decrease in size, but now, 4.5 years later, the right testicle is still about 1.5 times larger than the left.
It feels droopy and is more sensitive and fragile compared to the left.
There is no pain, but sometimes I feel a strange sensation while riding a bike.
I have researched the anatomy of the testicles and suspect that the right epididymis and spermatic cord may be enlarged.
Does this condition require treatment?

789, 20~29 year old female. Ask Date: 2021/10/08

Dr. Li Xinyi reply Urology

This issue requires a visit to a urologist for a scrotal ultrasound and physical examination to confirm the diagnosis.

Reply Date: 2021/10/08

More Info

Enlarged and drooping testicles can be a concerning issue, especially when they result from a previous injury, such as the one you described from playing baseball at age 16. It’s important to understand that any changes in the size, shape, or sensitivity of the testicles should be evaluated by a healthcare professional.
In your case, the right testicle being approximately 1.5 times larger than the left and having a drooping sensation could indicate several potential conditions. One possibility is a condition known as a hydrocele, which is a fluid-filled sac surrounding the testicle that can cause swelling. Another possibility is a varicocele, which is an enlargement of the veins within the scrotum that can lead to a feeling of heaviness or discomfort. Additionally, the sensitivity and the feeling of "weirdness" you experience while riding a bike could be related to nerve irritation or other structural changes resulting from the initial injury.

While you mentioned that there is no pain associated with the enlarged testicle, it is still advisable to seek medical attention. Here are several reasons why:
1. Diagnosis: A healthcare provider can perform a physical examination and may recommend an ultrasound to assess the structure of the testicle and surrounding tissues. This imaging can help determine if there is a hydrocele, varicocele, or any other abnormalities.

2. Monitoring Changes: Even if the condition is not causing pain, it’s essential to monitor any changes over time. If the size of the testicle continues to increase or if new symptoms develop, such as pain or discomfort, timely intervention may be necessary.

3. Potential Complications: Conditions like varicoceles can sometimes lead to fertility issues, and hydroceles may require surgical intervention if they become large or symptomatic. Early diagnosis can help prevent complications.

4. Peace of Mind: Seeking treatment can provide reassurance. Understanding what is happening with your body can alleviate anxiety about potential health issues.

5. Treatment Options: If a condition is diagnosed, treatment options may vary. For example, a hydrocele may resolve on its own, but if it persists or causes discomfort, surgical options are available. Varicoceles may also require surgical intervention if they are symptomatic or affecting fertility.

In conclusion, while your symptoms may not currently be causing significant discomfort, it is crucial to consult with a healthcare professional for a thorough evaluation. They can provide a proper diagnosis and discuss potential treatment options if necessary. Remember, it’s always better to err on the side of caution when it comes to your health, especially regarding sensitive areas such as the reproductive system.

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