Uneven Testicles: Should You Be Concerned? - Urology

More Info

---

When it comes to concerns about uneven testicles, it's important to understand that variations in size, shape, and texture are quite common among men. However, any noticeable changes in the texture of the testicles, such as the presence of lumps, bumps, or pits, should not be ignored.
The testicles are responsible for producing sperm and hormones, primarily testosterone. They are typically smooth and firm to the touch. If you notice that one testicle feels different from the other—such as being more lumpy, having pits, or feeling softer or harder—this could indicate a variety of conditions, some of which may require medical attention.

One common condition that can cause changes in the texture of the testicles is epididymitis, which is an inflammation of the epididymis (the tube that stores and carries sperm). This condition can cause swelling, tenderness, and sometimes a feeling of heaviness in the affected testicle. Epididymitis can be caused by infections, including sexually transmitted infections (STIs), or by non-infectious factors such as trauma.

Another potential issue is varicocele, which is an enlargement of the veins within the scrotum. This condition can lead to a feeling of heaviness or a "bag of worms" sensation in the scrotum, and it may affect fertility. Varicoceles are often asymptomatic but can be diagnosed through a physical examination or ultrasound.

Testicular torsion is a more serious condition that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This is a medical emergency and requires immediate attention. Symptoms include sudden, severe pain in the testicle, swelling, and sometimes nausea or vomiting.

Additionally, testicular cancer can present as a lump or mass on the testicle, and while it is less common, it is crucial to be vigilant about any changes. Early detection significantly improves treatment outcomes.

Given your description of your testicles feeling uneven and having a "pitted" texture, it is advisable to consult a healthcare professional for a thorough examination. A doctor may perform a physical examination and, if necessary, order imaging tests such as an ultrasound to assess the condition of the testicles and surrounding structures.

In summary, while some variations in testicular texture can be benign, any significant changes warrant a medical evaluation to rule out potential issues. It's essential to prioritize your health and seek professional advice, especially if you experience additional symptoms such as pain, swelling, or changes in urination. Remember, early diagnosis and treatment are key to managing any health concerns effectively.