HomeAnswersUrologyvaricoceleI have a swelling in the right testicle. How do you treat this?

What can cause swelling in the testicles?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 10, 2023
Reviewed AtOctober 16, 2023

Patient's Query

Hi doctor,

For the past week, I have felt a weird swelling inside the right testicle. It feels uncomfortable only if I touch it. Overall after working days, I have pulled down sensations. The overall condition did not affect peeing or sex part. A week ago, I felt like it had gone, however two days later, it was still there. To describe the swelling, it is not a ball, but I would say a cubic feeling thing with a higher sensation level than another testicle. I have an appointment with a local urologist, but I want to speed up the process. Are there any natural ways to treat this issue?

Thank you.

Hi,

Welcome to icliniq.com.

This is a varicocele which is dilated veins around the testis. The cause may be primary in 90 percent of the cases and secondary in 10 percent of the cases. It causes a dragging sensation and heaviness in the testis. An ultrasound scan of the scrotum diagnoses it. Please do an ultrasound scan of the scrotum, and send me the report for further management. If you have any other questions, please let me know.

Thank you.

Patient's Query

Hi doctor,

Can you give me a reference letter so I can perform an ultrasound scan? Please let me know if you can help with that.

Thank you.

Hi,

Welcome back to icliniq.com.

I am sorry, but my referral letter will not work. Regarding consultation, if you require anything, please let me know.

Kind regards.

Patient's Query

Hi doctor,

I got my ultrasound results. Please take a look and give me some feedback. Do I need surgery, or can I treat the issue somehow without surgery? The ultrasound results are attached.

Thank you.

Hi,

Welcome back to icliniq.com.

This Ultrasound Scan shows that your right testis shows a mass of around one centimeter, and further evaluation with tests required like serum alpha-fetoprotein, serum beta human chorionic gonadotropin, and lactate dehydrogenase (LDH). Those blood tests are requested to see the nature of the mass in the testis. Another thing is the varicocele, as I expected. Please follow up with the results to decide on further management.

Kind regards.

Patient's Query

Hi doctor,

I did CT Scan and surgery also last month. Today I got my pathology results. Please summarize what you see based on results in a basic human language.

Thank you.

Hi,

Welcome back to icliniq.com.

Your CT (Computed tomography) scan is normal, and that is a good thing. The pathology report needs to be completely scanned. Please share the complete report so I can guide you further.

Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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