Testicular Concerns: When to See a Urologist - Urology

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Testicular Issues 2


A few days ago, I noticed that my right cremaster muscle is somewhat developed and I can control it (by contracting my abdomen).
Is this normal? Also, when I get up and walk, my right testicle feels stuck near the penis, which is uncomfortable but not painful.
How should I check the firmness of my testicles? Can I visit a urology clinic for an examination instead of a large hospital, as I don't want my family to know? Thank you, doctor.

Px, 10~19 year old female. Ask Date: 2022/11/25

Dr. Du Shixi reply Urology


Hello: If it's inconvenient, you can first visit a urology clinic.
As for hardness, it varies from person to person and requires the physician's experience for examination.
Wishing you good health.

Reply Date: 2022/11/25

More Info


When it comes to testicular concerns, it's essential to understand the normal anatomy and function of the male reproductive system, as well as when to seek medical advice. Your observations regarding the right cremaster muscle (the muscle that controls the position of the testicles) being more developed and the sensation of discomfort while walking are valid concerns that warrant further exploration.

Firstly, the cremaster muscle's primary function is to raise and lower the testicles to regulate temperature, which is crucial for sperm production. Variations in muscle tone can occur due to various factors, including temperature changes, physical activity, or even anxiety. If you notice that the muscle is consistently more developed on one side, it could be due to habitual muscle use or tension. However, if this is accompanied by discomfort or changes in the testicles' position, it may be worth investigating further.

Regarding the sensation of the right testicle feeling "stuck" or uncomfortable against the penis, this could be attributed to several factors, including anatomical variations, tight clothing, or even a mild hernia. While discomfort is not uncommon, persistent or worsening symptoms should not be ignored.
As for checking the hardness of the testicles, it is essential to perform a self-examination regularly. You can do this by gently rolling each testicle between your fingers to feel for any lumps, changes in size, or hardness. Normal testicles should feel smooth and firm but not hard. If you notice any significant changes, such as a hard lump or a change in size, it is crucial to seek medical advice.

You mentioned the possibility of visiting a urologist without going to a large hospital. This is entirely feasible. Many urologists operate in private clinics or smaller medical facilities, where you can receive a thorough examination and discuss your concerns in a more private setting. It is understandable to want to keep this matter discreet, and a urologist can provide the necessary expertise in a confidential environment.

In summary, while some variations in muscle tone and testicular position can be normal, any discomfort, changes in texture, or persistent symptoms should prompt a visit to a urologist. Early intervention can help address any potential issues and provide peace of mind. Remember, your health is paramount, and seeking professional advice is always a wise decision when it comes to concerns about your body.

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