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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Testicles With Irregular Sizes?

hi dr.my name is dr ali from quetta pakistan .my question is that i have a left sided vericocele .it was daignosed 6years back nw i am feeling that my left testis is become bit smaller than right testis iam worried about that i dint have any pain and any other problem pllllz ans me is it dangrous that my testis become small

posted on Fri, 14 Mar 2014
Twitter Thu, 29 Jun 2017 Answered on
Twitter Fri, 30 Jun 2017 Last reviewed on
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General Surgeon,  's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.

Testicles are usually not of same size so this is not worrying. Only if there is significantly smaller testicle then it may be sign of atrophy. However in your case this type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy.

I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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What Causes Pain In The Testicles With Irregular Sizes?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can. Testicles are usually not of same size so this is not worrying. Only if there is significantly smaller testicle then it may be sign of atrophy. However in your case this type of pain and location is suggestive of epididimitis which is inflammation of part of testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.