Testicular Issues: When to Seek Ultrasound Evaluation

Testicular issues

Hello doctor, I was born with cryptorchidism and underwent surgery at around five years old to retrieve the right testicle and place it back into the scrotum, where it was fixed.
However, this testicle is smaller than the left one.
About two years ago, I had an ultrasound examination at a urology clinic, and aside from the size difference, there were no abnormalities in either testicle.
Recently, I have been thinking about this issue and touched both testicles again.
The size and firmness are not significantly different from before, but I noticed some soft tissue surrounding the left testicle, both above and below, which resembles the epididymis or the spermatic cord vessels.
Should I consider getting another ultrasound examination?

Jie, 30~39 year old female. Ask Date: 2014/08/14

Dr. Xu Weikai reply Urology

Hello, when a touch examination cannot provide certainty, an ultrasound can be performed.
Regular follow-up is necessary.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only serve as a reference; it is essential to seek medical attention at a healthcare facility when necessary.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.

Reply Date: 2014/08/14

More Info

When it comes to testicular health, especially in the context of a history of cryptorchidism (undescended testicle), it is crucial to monitor any changes or concerns that arise. Based on your description, it seems you have undergone surgery for your right testicle to be placed back into the scrotum and secured, and you have had a previous ultrasound that showed no abnormalities aside from size differences between the two testicles. However, you are now noticing some soft tissue around the left testicle that resembles the epididymis or the spermatic cord.

In general, it is advisable to seek further evaluation through ultrasound if you notice any new changes in the testicular area, such as the development of new masses, changes in size, or any discomfort. Ultrasound is a non-invasive imaging technique that can provide detailed information about the structure of the testicles and surrounding tissues. It is particularly useful for differentiating between various types of masses, such as cysts, tumors, or fluid collections.

The presence of soft tissue around the left testicle could be normal anatomical structures, such as the epididymis, which is responsible for storing and maturing sperm. However, if there is any uncertainty or if the soft tissue feels different from what you remember, it is prudent to consult with a urologist. They may recommend an ultrasound to assess the area more thoroughly.
Ultrasound is a preferred method for evaluating testicular issues because it is safe, does not involve radiation, and can provide real-time images. It can help identify conditions such as testicular torsion, epididymitis, varicocele, or tumors. Given your history of cryptorchidism, it is especially important to remain vigilant, as individuals with this condition may have an increased risk of testicular cancer later in life.

In summary, if you are feeling uncertain about the changes you are noticing, it is advisable to schedule an appointment with your urologist for a thorough examination and possibly an ultrasound. Early detection and intervention are key in managing any potential issues effectively. Your health and peace of mind are paramount, and addressing these concerns with a medical professional is the best course of action.

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