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Is testicle swelling a sign that I need hydrocele treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 44-year-old male. I have an enlarged right testicle, which is three to four times the size of the left one. There is no pain or discomfort. I have noticed it today only. It may be there for some time.

Please help.

Thank you.

Answered by Dr. Anshul Varshney

Hi,

Welcome to icliniq.com.

We are here to help you.

This enlarged testicle can be because of a hernia, hydrocele, or any tumor of the testis. You definitely need to get an ultrasound Doppler of the scrotum following consultation with the surgeon. Please write back to me with the ultrasound report.

I hope this helps.

Please revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Your advice helped. I visited a surgeon, followed by an ultrasound. I have attached the reports for your reference. Kindly advise as deemed fit. Also, please help me understand a few things.

  1. Is this a hydrocele?
  2. If yes, then is it curable?
  3. Ultrasound says that both testicles are almost the same size. However, I feel that my right testicle is at least three times of left one. Can this be due to any fluid outside the right testicle in the skin or membrane?
  4. Can it be treated without an operation?
  5. How much time does it take, approximately, to cure?
  6. If required to be operated only, how much time of rest is required?
  7. Is it advisable to wear a supporter for the scrotum?

Please help.

Thank you.

Answered by Dr. Anshul Varshney

Hi,

Welcome back to icliniq.com.

Yes, you have a hydrocele (attachment removed to protect patient identity), and this cannot be treated with medicine; it requires surgery. Your larger testis is due to the hydrocele effect only. This is completely treatable by surgery. Hardly 3 to 4 days of rest are needed post-surgery. Yes, you should wear a scrotal support.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answered byDr. Anshul Varshney

Medically reviewed byiCliniq medical review team

Published At April 19, 2017
Reviewed AtMarch 12, 2026

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