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- $Unique_ID{BRK00976}
- $Pretitle{}
- $Title{Isn't a Swollen Testicle Something to Worry About?}
- $Subject{hydrocele swollen testicle cyst Genitourinary hydroceles spermatic
- Spermatocele Needle aspiration testicles}
- $Volume{J-15}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Isn't a Swollen Testicle Something to Worry About?
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- QUESTION: My husband had a lump in his testicle. After prolonged nagging he
- went to see the doctor. The doctor held a light behind the testicle and said
- he could see light through it so it was only a cyst and nothing to worry
- about. A couple of years later, without any reason which we can figure, that
- testicle has swollen to three times its size and has remained swollen. The
- doctor has said by phone that if it doesn't hurt, don't worry about it. These
- diagnoses sound pretty cavalier to me. I would like him to go to a second
- doctor. What do you think?
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- ANSWER: I suppose we are operating here on the principle "If it isn't TOO
- broken, don't fix it", but your desire for a better explanation is certainly
- valid. Let us first assume that the mass is in the scrotum or sac, rather
- than a part of the testicle. Such "cysts" are common and are known as
- "hydroceles," and are filled with a clear, sterile fluid that results from
- overproduction or reduced absorption of the fluid produced by tissues within
- the scrotum. This fluid production may become increased when an inflammation
- exists, such as follows and infection or trauma. Another type of cyst found
- close to the testes is a spermatic cyst or "Spermatocele" which lies adjacent
- to the epididymis, a structure that stores sperm. The spermatocele also
- contains sperm. It likewise allows light to pass through, as the doctor did
- during his examination, and telling this cyst apart from a hydrocele is often
- quite difficult. However, most doctors do agree that if these masses are not
- too big, and do not cause pain and discomfort, they are best left alone.
- Needle aspiration, that draws off the fluid into a syringe, is at best
- temporary and may result in an infection. The only totally effective
- treatment to remove these liquid filled cysts is surgical removal, and from
- the sound of it, plain old fashion nagging isn't going to get you to convince
- your husband to undergo an operation he really doesn't need.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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