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What Causes Palpating Worm-like Veins In The Scrotum?

Posted on Tue, 14 Feb 2017

Question: How do you diagnose parasites or worms in scrotum I have slight pain and some weird feelings but have had sonograms done etc and they are normal.

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
There is no entity like Parasites in Scrotum

Detailed Answer:
Hello
Thanks for query .
You suspect to have worms in the scrotum .What you feel on palpation like worms in scrotal sac are in reality a bunch of tortuous dilated varicose veins called as Varicocele .

There is no entity or disease like worms in scrotum .

You can get this confirmed by clinical examination by a qualified General surgeon and by doing Ultrasound Scanning of Scrotum.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

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

Follow up: Dr. Dr. P. T. Patil (51 minutes later)

I know I have bilateral varicocele. I have one testicle at around 16ml and one around 20 ml. I had a grade 3 that was repaired and a grade 1 that wasn't. However my fsh is 11.9 and testosterone is 538. I have had sperm counts of 35 total and 17 per mil and 120 total and 35 per mil and 100 total about 25 mil. All with different abstinence and one that was around 17 total but this was after only a few days and antibiotics. Does this seem like testicular failure? And what would be your advice for what these numbers may fall too? As in should I worry about this or no? I am28

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
Upload your all reports in proper format as reported by laboratory .

Detailed Answer:
Hello
Thanks for follow up .

Please upload all the reports in proper format and in serial orders date wise as reported by laboratory so as to make precise comments and suggestions .

Thanks and Regards
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (11 minutes later)

The units for testosterone and fsh were measured in ng/dl. I can upload the forms but this is all they say. Is it really needed. Or can you give me a answer with this info?

Answered by Dr. Dr. P. T. Patil (5 minutes later)

Brief Answer:
Upload reports in proper format as issued by laboratory

Detailed Answer:
Thanks for follow up .
Upload all the blood and semen analysis reports in proper format as reported by laboratory .

Your FSH and Testosterone values aare within normal range and does not suggest any testicular failure
Thanks and Regards
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (19 hours later)

Ok. I have some concerns, because I have some tingling in the head of my penis. I also feel as though that I am less sensitive down there. I have heard that smoking and stress can cause penis shrinkage and I am wondering is the shrinkage reversible? Also can stress and depression be the cause for loss of interest in sex? I don't know if my penis has shrunk but it doesn't seem to be as full. That's why I am looking into testosterone etc. also my ejaculation volume hasn't been as much as usual and orgasims don't feel the same.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Your sexual problems are anxiety related

Detailed Answer:
Hello
Thanks for follow up .

All the sexual problems that you have are due to anxiety .

The size of the penis in flaccid state has no significance at all .It is hardness of the penis on erection that is important to have enjoyable sex .

The volume of ejaculate is always variable and does go down in stressed condition and depression .The same is the case with libido .More you are stressed less is the desire for sex .

You need to consult qualified Psychiatrist for counselling and evaluation before you start any treatment .

Thanks and Regards
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (2 days later)

Hi, I have a few more questions. I have been having sexual difficulties lately. Hopefully ou can see the previous questions from last time. However I have losted a lot of sensations in the tip of my penis and all in the testicles. I truly feel like there is more going on here and I would really like to figure this out. I am wondering that with the varicocele as if this does get to a point that the teatciles fail is that the end of my sex life? Also I have pain etc in the penis as well.

Answered by Dr. Dr. P. T. Patil (31 hours later)

Brief Answer:
A stated earlier Your problems are due to anxiety.

Detailed Answer:
hello Thanks for follow up .
The problems that you are not due to Varicocele but related to anxiety ,
For plain I penis you could manage with pain killers like Burden for 5 days .
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

I understand that is part of it. But what about the lost of sensation? I can barely feel sex sometimes? I do over masturbste would this have any effect?

Answered by Dr. Dr. P. T. Patil (8 minutes later)

Brief Answer:
Loss of sensation is likely to be due to excessive masturbation,

Detailed Answer:
Hello
Thanks for follow up .
Excessive masturbation does lead to loss of sensations of penis .
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (1 minute later)

Is this temporary? Can you get the sensation back?

Answered by Dr. Dr. P. T. Patil (3 minutes later)

Brief Answer:
It will regain it provided you restrict excessive masturbation

Detailed Answer:
Hello
Thanks for follow up .
You can get back the penile sensation provided you reduce and restrict frequent masturbation .
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

Ok so none of this is permanent? I have been extreme stress and depressed because of the bilateral varicoceles so I am just wondering.

Answered by Dr. Dr. P. T. Patil (2 days later)

Brief Answer:
vericocele surgery

Detailed Answer:
Ya none of this is permanent. You can consult the urologist and get the vericocele surgery done.
Thanks and Regards.

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