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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Left Testis Big Than Right, Left Epididymis Thick, Multiple Tubular Structure

left testis gets bigger than right in size and both are normal in echot. left epidiymis is thickned(~20mm) and shows multiple tublar structure which shows color flow and are chstended is this the cause of worry?
Wed, 29 May 2013
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General Surgeon,  's  Response
Hi ! There are two possibilities which can be drawn from your history without a proper clinical examination :
1) Epididymo orchitis, with increased blood flow in the epididymis shown in the colour doppler. In this case pain may be there and a proper scrotal support, antibiotics and anti inflammatory drugs with proper rest may solve the problem.
2) Vericocele ( dilated veins ) of the testis. This is a also a benign condition but may require a semen analysis initially as it is said to cause infertility. In that case your urologist may advise to undergo a surgical procedure.

Wishing you an early recovery.
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Left Testis Big Than Right, Left Epididymis Thick, Multiple Tubular Structure

Hi ! There are two possibilities which can be drawn from your history without a proper clinical examination : 1) Epididymo orchitis, with increased blood flow in the epididymis shown in the colour doppler. In this case pain may be there and a proper scrotal support, antibiotics and anti inflammatory drugs with proper rest may solve the problem. 2) Vericocele ( dilated veins ) of the testis. This is a also a benign condition but may require a semen analysis initially as it is said to cause infertility. In that case your urologist may advise to undergo a surgical procedure. Wishing you an early recovery.