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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Downward Pulling Of One Testicle?

hi doctor as iam having problem with my testis ie: my left side of the testicles is some what pulled downwards, as im working in very hot calamatic conditions, i dont have pain but while im going in my bike it seems to come down and hit the surface, that time im getting pain in lower part of the abdomen,but rest all functions such as contraction etc is fine, but only left side of the testicles is prouted outside, what the conditions may be, is it a major problem like hydrocil?pls help me sir!
Fri, 18 Dec 2015
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.
Read and understood your problem of very lax left side of the scrotal sac and getting hitting when you are travelling on motorcycle causing pain in the lower abdomen.
This definitely is a symptoms that needs investigations and treatment.
You are working in the hot climate causes enhancement of the problems as there is extra slackening of the sac making the testicle to appear as a clapper in bell appearance.
The commonest reason for left testicle to hang so much is low is the large varicocele. This increases the internal temperature so much that the scrotum on that side has to constant relax to dissipate the temperature.
I would advise you the following in such a condition:
Get a clinical evaluation from Urologist or General Surgeon.
Ultrasonography and color doppler
Preliminary semen analysis is a must as as well the tests of blood, urine.
Get operated in the classical way to get the results, , once the testis is pulled up the scrotal skin gets adjusted to the normal position.
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What Causes Downward Pulling Of One Testicle?

Hi. Thanks for your query and an elucidate history. Read and understood your problem of very lax left side of the scrotal sac and getting hitting when you are travelling on motorcycle causing pain in the lower abdomen. This definitely is a symptoms that needs investigations and treatment. You are working in the hot climate causes enhancement of the problems as there is extra slackening of the sac making the testicle to appear as a clapper in bell appearance. The commonest reason for left testicle to hang so much is low is the large varicocele. This increases the internal temperature so much that the scrotum on that side has to constant relax to dissipate the temperature. I would advise you the following in such a condition: Get a clinical evaluation from Urologist or General Surgeon. Ultrasonography and color doppler Preliminary semen analysis is a must as as well the tests of blood, urine. Get operated in the classical way to get the results, , once the testis is pulled up the scrotal skin gets adjusted to the normal position.