Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due-Post-traumatic Clot with fibrosis and inflammed tissue. This also could be due to the Vas deferrence with testicular vessels and nerves in the spermatic cord, which might have resolved and has come to normal by now in last 15 years, and is due to pressing the normal vas deference with nerves and vessels. Thus the possibility what you think, is not there as the clot at that time has got resolved over last 15 yrs, which is a big time to recover from such a traumatic swelling effect. Or it Could be from epididymitis/ Varicocele- post- traumatic. Hence Other causes-as cited above- need to be ruled out,by verification with Physician/and or Surgeon. Do s- Consult with Urologist and Surgeon who would investigate physically and by USG with Colour Doppler study if needed. This would fix the cause amongst the above or other possibilities. You need to treat it with Surgeon/ Urologist which should be done on priority and urgently to avoid further complications. This would resolve the complaints of your s. Constant followup with local family or specialist Urologist / Surgeon-for long term would give you long remissions in time to come,which would depend on meticulous followup treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS