Understanding Testicular Pain: Causes, Self-Examination, and Prostate Health
My testicles? Hello doctor, I have a question. Sometimes I feel pain in my testicles, like a dull ache as if I had been hit, and it can radiate to my lower back and kidneys. Is this what is known as varicocele? How can I perform a self-examination? Also, does sleeping naked at ni...
Dr. Lin Hexing Reply:
Hello, thank you for your question. I would like to respond to your inquiry and provide some advice: The testicles are a pain-sensitive organ, and pressure applied to them can cause pain. This pain can radiate from the groin area to the lower back, corresponding to the kidneys, d...[Read More] Understanding Testicular Pain: Causes, Self-Examination, and Prostate Health
Understanding Left Scrotal Pain: Causes and Next Steps for Diagnosis
Left scrotal pain? Hello, doctor! Recently, I have noticed a painful sensation in the left side of my scrotum, especially when walking. This has been going on for over two months. I visited a urologist, who performed an ultrasound, but the doctor said there was nothing wrong and ...
Dr. Xu Weikai Reply:
Concerned Person: Hello, I cannot diagnose this just like that. There is pain in the left scrotum. Many causes can lead to pain in this area; aside from what you mentioned, sometimes urinary stones, especially stones in the upper ureter, can occasionally present with such symptom...[Read More] Understanding Left Scrotal Pain: Causes and Next Steps for Diagnosis
Understanding Testicular Pain: Causes and Concerns After Risky Behavior
Testicular pain sensation Hello doctor, around the beginning of September, I engaged in risky behavior (oral sex without a condom). By the end of September, I noticed a slight burning sensation when urinating, which made me very worried. I underwent an RT-PCR test at the end of S...
Dr. Xu Weikai Reply:
Hello, regarding your varicocele, many cases are asymptomatic. In your situation, if this incident had not occurred, you might never have noticed that you had varicocele. Most varicoceles do not present symptoms, and unless there are specific concerns, surgery is not necessary. I...[Read More] Understanding Testicular Pain: Causes and Concerns After Risky Behavior
Post-Varicocele Surgery: Understanding Changes in the Scrotum
Postoperative conditions after varicocele surgery? Hello Dr. Chen, About three weeks ago, I underwent varicocele surgery performed by Dr. Hsu at your hospital. During my follow-up appointment, the incision site had healed well. However, I recently noticed that the upper part of...
Dr. Chen Xiuyi Reply:
Hello: The surgical methods for varicocele can be classified based on the surgical site into high, mid, and low approaches. Postoperatively, swelling of the spermatic cord incision may occur due to vascular dissection, which typically resolves within a few weeks and can be monito...[Read More] Post-Varicocele Surgery: Understanding Changes in the Scrotum
Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Strange Epididymitis Hello Doctor: My husband has pain above his left testicle (not the testicle itself, but it feels like a cord or tube above the testicle) when pressed, it feels hard, and there is a sensation of fullness. A urologist has examined him and diagnosed him with epi...
Dr. Chen Xiuyi Reply:
Hello: The spermatic cord contains arteries, veins, lymphatic vessels, the vas deferens, and soft tissue, and it may become swollen due to inflammation, although this is less common in clinical practice. More commonly, epididymitis occurs, which is generally a result of retrograd...[Read More] Understanding the Uncommon Condition of Spermatic Cord Epididymitis
Is Severe Pain in the Spermatic Cord Normal? Understanding Causes and Solutions
Is it normal to experience severe pain in the spermatic vein area? Hello Dr. Hsu, I need your help. My husband is currently in the United States. Since July of last year, he has been experiencing significant pain around his testicles, described as a sharp pain. In September, he w...
Dr. Xu Weikai Reply:
Miss Sun: (Please forgive me if I am guessing incorrectly) The pain associated with varicocele is quite distinctive: 1. It typically occurs after prolonged standing, physical activity, in the evening, or at night. It usually affects the left side, with the right side being rare. ...[Read More] Is Severe Pain in the Spermatic Cord Normal? Understanding Causes and Solutions
Understanding Testicular Pain: Causes and When to Seek Help
Regarding testicular pain..? In the past few weeks, I have been experiencing a dull pain in my testicles. It's not extremely painful, but it is uncomfortable, similar to the sensation after being kicked. The discomfort is persistent, and I have noticed that when it hurts, it...
Dr. Xu Weikai Reply:
Hello, testicular pain during puberty may raise concerns about testicular torsion, which typically occurs on one side, although it can occasionally affect both sides. Once it occurs, some individuals may experience spontaneous resolution, while others may not and will require imm...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Testicular Lumps: Cysts, Hydroceles, and When to Seek Help
Testicles feel strange!! (Part 2) If you tell the doctor about a seminal cyst and scrotal swelling, what does that mean? The hard lump on my testicle is smooth! It's not exactly round; it seems to be attached to the bottom of the testicle! I would describe it as oval-shaped!...
Dr. Xu Weikai Reply:
Hello, a spermatic cord cyst is an outpouching that occurs due to a weakness in the duct that transports sperm. Generally, it does not present any symptoms. Scrotal edema refers to the accumulation of bodily fluid in the scrotum due to various factors, and there are many potentia...[Read More] Understanding Testicular Lumps: Cysts, Hydroceles, and When to Seek Help
Concerns About Testicular Drooping: What You Need to Know
Testicular issues~~>_< I'm really scared... I noticed that my left testicle is drooping. When the left testicle hangs down, it's not straight, but rather horizontally inward (like it's fallen over). When I touch the left testicle, it feels like there are some...
Dr. Lin Hexing Reply:
Hello, based on the symptoms you described, it appears to be normal. During the summer (when temperatures are high), the scrotum tends to relax more to allow the testicles to hang further away from the body, which helps lower their temperature and protect sperm development. This ...[Read More] Concerns About Testicular Drooping: What You Need to Know
Effective Communication Strategies for Urology Concerns in Taiwan
How to communicate? Hello, Director. I'm back again. 1. I visited a urologist in Taipei due to discomfort in my perineum and left testicle. I would like to undergo an ultrasound examination of the seminal vesicles and spermatic cord, but the doctor is only willing to presc...
Dr. Xu Weikai Reply:
Health is the most important: It's good to see you again. Actually, you don't need to be so anxious; you may have already recovered. However, regardless, a urinalysis is just an auxiliary tool, and clinical symptoms should serve as the basis for diagnosis. As for whethe...[Read More] Effective Communication Strategies for Urology Concerns in Taiwan
Understanding Testicular Pain: Causes and When to Seek Help
Testicular pain? When I sit cross-legged, the more I press down on my right thigh, the more my right testicle hurts. I don't feel any pain when standing. What could be the issue?
Dr. Lin Hexing Reply:
When you sit cross-legged, the downward pressure on your right thigh can stretch the adductor magnus muscle, which may compress the inguinal ligament and potentially pull on the spermatic cord, leading to pain in the right testicle. When you stand up, the compression of the sperm...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Scrotal and Spermatic Cord Issues: Expert Insights
Scrotal and spermatic cord issues? I have not been feeling well. I appreciate the doctor for being available online on weekends to answer my questions. Actually, I have been seeing a doctor in Taipei, but there are always long lines. The doctor does not answer my questions in det...
Dr. Xu Weikai Reply:
Health is the most important: Hello, I'm glad my response was helpful to you. Regarding your questions, here are my replies: 1. Does medication for varicocele only relieve pain? To effectively alleviate pain and achieve a cure, surgery is necessary for varicocele. There ar...[Read More] Understanding Scrotal and Spermatic Cord Issues: Expert Insights
Understanding Varicocele: Symptoms, Causes, and Treatment Options
Varicocele Director, I'm here to ask again. I'm the one who has been experiencing persistent issues. I've had discomfort in my left testicle for over two weeks now. Thank you for your detailed responses before; I hope they are helpful to everyone. My current questi...
Dr. Xu Weikai Reply:
Health is the most important: Hello, today is a holiday, and I happened to turn on my device and saw an old friend asking a question, so I’ll take the opportunity to answer. Varicocele is a term that many people may not understand. I usually break it down: spermatic cord vein -- ...[Read More] Understanding Varicocele: Symptoms, Causes, and Treatment Options
Understanding Testicular Atrophy: Causes, Symptoms, and Size Concerns
Testicular atrophy Many articles regarding varicocele mention the issue of testicular atrophy. I discovered I had a varicocele in my first year of high school, and my body doesn't have any major issues; I only experience occasional pain on the inner thigh. However, what is t...
Dr. Xu Weikai Reply:
Varicocele is a condition characterized by the enlargement of the veins within the scrotum, specifically the pampiniform plexus of the spermatic cord. When blood flow is impaired, it can lead to engorgement and tortuosity of the veins, resulting in increased blood volume in the a...[Read More] Understanding Testicular Atrophy: Causes, Symptoms, and Size Concerns
Understanding Varicocele: Concerns About Fertility and Diagnosis
Varicocele I have some questions I would like to ask. About two years ago, I underwent surgery for a left inguinal hernia. Since the surgery, I have noticed that there seems to be a bit more tissue on the upper left side of my scrotum (possibly remnants of the hernia sac). Someti...
Dr. Lin Hexing Reply:
Hello Boy: 1. The most basic requirement for normal fertility is having sufficient sperm. Therefore, to address your concerns, a semen analysis can determine whether you meet this basic requirement. However, meeting the basic requirement does not guarantee 100% fertility, as it i...[Read More] Understanding Varicocele: Concerns About Fertility and Diagnosis
Understanding Testicular Pain and Asymmetry: Common Urology Concerns
Bird egg problem Hello, Doctor... I would like to ask a question. 1. Is it normal for the left and right sides of the scrotum to be the same size? 2. I have noticed that when I touch a specific area on the left side of my scrotum, it hurts, and the pain radiates from the insi...
Dr. Chen Xiuyi Reply:
Hello: The difference in size between the left and right scrotum, along with left scrotal pain, raises the suspicion of conditions such as epididymitis or varicocele. A thorough physical examination or scrotal ultrasound is necessary. Please consult Dr. Chen Hsiu-Yi in the Urolog...[Read More] Understanding Testicular Pain and Asymmetry: Common Urology Concerns
Understanding Varicocele: When to Seek Treatment and Home Remedies
Varicocele Is the visible protruding cord considered serious, or is pain necessary for surgery? I have seen a doctor who said my condition is not serious and does not require surgery (but I feel it is quite serious). He mentioned that I could elevate my buttocks while sleeping to...
Dr. Liu Jianting Reply:
It can be quite distressing! Generally, surgery is considered when the pain significantly affects daily life or may impact semen quality.[Read More] Understanding Varicocele: When to Seek Treatment and Home Remedies
Concerns About a Hard Lump on My Testicle: What Could It Be?
I need help? I recently discovered a small, marble-like lump attached to my left testicle. It feels round and hard to the touch. I'm worried it might be testicular cancer. Can you please help me understand what this could be? I'm studying in the UK and am currently in t...
Dr. Cai Bingkun Reply:
A normal scrotal physical examination typically reveals four structures: the testes, epididymis, spermatic cord, and vas deferens. The scrotum is colloquially referred to as the "eight-treasure bag." The hard structure that the author refers to as being attached to the ...[Read More] Concerns About a Hard Lump on My Testicle: What Could It Be?
Understanding Testicular Discomfort: Causes and Solutions
excuse me? Hello, I would like to ask about an issue regarding my testicles. Recently, I have been feeling that my testicles seem a bit unusual, as they often have a pulsating sensation similar to a heartbeat. Although there is no pain, it makes it difficult for me to sleep, and ...
Dr. Chen Zhihong Reply:
Are you experiencing the sensation of your testicles twitching intermittently or continuously? Is it synchronized with your heartbeat? Is there any swelling of the testicles? If none of the above symptoms are present, it may be due to nerve or muscle pain in the spermatic cord. Y...[Read More] Understanding Testicular Discomfort: Causes and Solutions
Understanding Varicocele: Symptoms, Diagnosis, and Fertility Impact
Could it be a varicocele? Doctor, I have some questions: 1.) In a normal person, can the blood vessels be seen on the outside of the scrotum? 2.) On the right side of my scrotum, there is a more prominent blood vessel that appears slightly larger. Its diameter is about 0.1 cm, bu...
Dr. Chen Zhihong Reply:
1. Varicocele typically refers to the enlargement of veins within the scrotum (not on the surface), leading to poor blood flow and resulting in blood pooling in the scrotum. 2. The vessels you mentioned are likely varicose veins of the spermatic cord. The small bumps on the surfa...[Read More] Understanding Varicocele: Symptoms, Diagnosis, and Fertility Impact