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Suggest Treatment For Lump In Scrotum

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Posted on Fri, 10 Jun 2016
Question: I just turned 75 yesterday...I s it unusual for me to have one testicle much much larger than the other???. The ball in the sack is about 5 times larger than the other and it's been that way for several years now
doctor
Answered by Dr. T Chandrakant (37 minutes later)
Brief Answer:
Hydrocele unless proved otherwise

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/turned 75 yesterday - taking Tamsulosin for 5 years - the ball in one sac is about 5 times larger than the other for several years - wants to know whether this is unusual ...
First of all let me wish you a very happy birthday.
This is definitely unusual to have such a disparity.
Since the swelling is for several years, the commonest cause of non-reducing lump in scrotum is hydrocele unless proved otherwise.

I would advise you the following:
Consult your Doctor, preferably a Surgeon for clinical evaluation. Simple trans-illumination tests with the help of a pointed torch in a dark room gives the diagnosis, the light passes through and gives a glow in hydrocele.
If this is not present an ultrasonography of the scrotum will give a proper diagnosis.
I hope this answers your query and helps you to get a proper diagnosis and a plan of treatment.

Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (14 minutes later)
I had a scrotum ultrasound done a couple of years ago and the results were negative. There was no treatment prescribed at that time
doctor
Answered by Dr. T Chandrakant (5 minutes later)
Brief Answer:
Fresh ultrasound please.

Detailed Answer:
This is hard to believe as there would have been a definite diagnosis if the swelling was present that time too.
As said earlier, simple trans-illumination tests and ultrasound should help to get a diagnosis.
If the swelling does not reduce meaning is constant, it will show up on clinical examination and ultrasound.
If this is reducible and regresses and enlarges, then this may be a hernia and if ultrasonography is done in the reduced state, it will be negative.

Please get a fresh ultrasound.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Lump In Scrotum

Brief Answer: Hydrocele unless proved otherwise Detailed Answer: Hi. Thanks for your query. To recapitulate: Male/turned 75 yesterday - taking Tamsulosin for 5 years - the ball in one sac is about 5 times larger than the other for several years - wants to know whether this is unusual ... First of all let me wish you a very happy birthday. This is definitely unusual to have such a disparity. Since the swelling is for several years, the commonest cause of non-reducing lump in scrotum is hydrocele unless proved otherwise. I would advise you the following: Consult your Doctor, preferably a Surgeon for clinical evaluation. Simple trans-illumination tests with the help of a pointed torch in a dark room gives the diagnosis, the light passes through and gives a glow in hydrocele. If this is not present an ultrasonography of the scrotum will give a proper diagnosis. I hope this answers your query and helps you to get a proper diagnosis and a plan of treatment. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.