Bag Right

My Right Testical feels like a bag of worms?

i am 14 and going through puberty my right testical is slightly smaller than my right and there is like a bag of worms.. surrounding it, there are no hard lumps anywhere and the testiclal is normal shape just smaller... every once a month there will be slight discomfort but that is it ... do i have a problem?

Sorry about your problem. It may or may not be serious. Only a doctor can determine this. But here's what I can tell you for now.

You might have a condition known as a varicocele . A varicocele is a swollen vein in the scrotum. Normal veins in the scrotums are usually constricted and not dilated. In varicocele, the veins in the scrotums are dilated. Varicoceles are more commonly found in the left scrotum than then in the right due to anatomic factors. Varicocele is a well-known cause of subnormal testicular function and can be found in approximately 20-25% of all males and in 40% of infertile males. As a matter of fact, varicocele is the leading cause of infertility in males.

Varicoceles are much more common in the left scrotum (80-90%) than in the right as a result of several anatomical factors. Also of importance is that right-sided varicoceles should be carefully investigated as more often than not, a right-sided varicocele may indicate cancer of the right kidney.

A varicocele feels like a "bag of worms". Contrary to what most people believe, varicoceles usually do not cause any pain, but swelling of the scrotum, be it in one or both sides. Other problems that have to be excluded, that may cause scrotum enlargement include fluids in the scrotum, testicular cancer, a cyst or spermatocele, etc. In general, varicoceles are harmless, are not cancerous, although in the long run, they may give rise to infertility. Some health professionals believe that if left untreated, they may even cause cancer of the testicles.

What are the long term complications of untreated varicocle? If left untreated, varicoceles may give rise to several problems:

1. Testicular atrophy (or shrinkage)

2. Infertility

3. Testicular cancer (rare)

How is a varicocele diagnosed? Varicocele is diagnosed clinically by testicular examination. Alternatively, if a diagnosis of varicocele is uncertain, high-resolution color-flow Doppler ultrasonography is the diagnostic method of choice.

Find a good urologist in your area, talk it over with your parents and ask them to take you to the Doc and see what your options are. Don't delay on this and I hope I helped you.

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