Testicular Concerns: What You Need to Know - Urology

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Testicular concerns?


I touched my testicles and noticed that there are wrinkled structures inside, and when relaxed, the size of the scrotum is uneven on both sides.
There has been no pain or discomfort.
I would like to inquire if there is any issue with this.
Thank you.

You, 20~29 year old female. Ask Date: 2015/08/12

Dr. Li Yilun reply Urology


Symptoms that are not obvious cannot be assessed solely based on your brief description; a thorough medical history and consultation are necessary.
If you have any doubts, it is advisable to seek evaluation and examination from a qualified physician.
Doctors often require a detailed medical history, physical examination, and diagnostic tests to establish a diagnosis and treatment plan.
It is recommended to consult a nearby urologist for examination and treatment.

Reply Date: 2015/08/12

More Info


When it comes to testicular health, it's important to understand that variations in size and texture can be quite common and may not necessarily indicate a serious problem. However, it's always wise to be aware of what is considered normal for your body and to seek medical advice if you notice any changes that concern you.

Firstly, the presence of "wrinkled" structures within the testicles that you can feel is likely the epididymis, a coiled tube located at the back of each testicle that stores and matures sperm. This structure can sometimes feel prominent, especially when the scrotum is relaxed. The testicles themselves can also vary in size due to several factors, including temperature, arousal, and even the time of day. It is normal for one testicle to hang lower than the other, and this asymmetry is common among men.

The absence of pain or discomfort is a positive sign, as many serious conditions associated with testicular health often present with symptoms such as pain, swelling, or discomfort. However, it is essential to remain vigilant. Conditions like testicular torsion, epididymitis, or even testicular cancer can manifest in various ways, and early detection is crucial for effective treatment.

If you are experiencing any of the following symptoms, it is advisable to consult a healthcare professional:
1. Persistent Pain or Discomfort: If you begin to feel pain in the testicles or scrotum, it is important to seek medical attention.

2. Swelling or Hard Lumps: Any new lumps or swelling that develop in the testicles should be evaluated by a doctor.

3. Changes in Size or Shape: Significant changes in the size or shape of the testicles can be a cause for concern.

4. Changes in Skin Texture: If you notice any unusual changes in the skin of the scrotum or testicles, such as redness, irritation, or unusual texture, it is worth discussing with a healthcare provider.

Regular self-examinations of the testicles can help you become familiar with what is normal for you, making it easier to identify any changes. The best time to perform a self-exam is after a warm shower when the scrotum is relaxed. Gently roll each testicle between your fingers and look for any lumps, swelling, or changes in texture.

In conclusion, while the variations you described may not indicate a serious issue, it is always best to err on the side of caution. If you have any lingering concerns or if anything changes, do not hesitate to reach out to a healthcare professional for a thorough evaluation. They can provide you with peace of mind and ensure that your testicular health is in good standing. Remember, taking care of your reproductive health is an important aspect of overall well-being.

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