I have had pain in the area of ​​the right epididymis for over a year. Pain radiates to the pubic bone. My right testicle is a bit larger than the left one and it is suspended higher. Is it normal? I have been watching it closely for over a year and its size is rather the same. I don't know if it used to be smaller. I have been to several urologists, each of whom had their own theory about my ailment. I had an ultrasound of the scrotum done twice. The results of both tests were normal. The pain I feel most is sitting. I'm still worried about cancer. This fear is destroying my life. I have become the wreckage of a man. I would like to ask what is the effectiveness of such an ultrasound examination? Is it possible not to notice any changes during its execution? I would like to have a tumor marker test, but I am very afraid.

The left testicle may be slightly higher in the scrotum, and a small and not deepening difference in size does not suggest a tumor. Regularly performed (every 1 / 2-1 year) ultrasound of the testicles will allow you to detect disturbing changes. Epididymal pain may result from chronic prostatitis, and in turn it may be affected by increased urethral resistance - anatomical or functional narrowing at the level of the sphincter resulting from its hyperfunction. A simple test can be performed to determine this - tubular flow.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Lidia Skobejko-Włodarska

Specialist in pediatric urology and surgery. She obtained the title of European specialist in pediatric urology - fellow of the European Academy for Pediatric Urology (FEAPU). For many years he has been dealing with the treatment of bladder and urethral dysfunction, especially neurogenic vesico-urethral dysfunction (neurogenic bladder) in children, adolescents and young adults, using for this purpose not only pharmacological and conservative but also surgical methods. She was the first in Poland to start large-scale urodynamic tests, allowing to determine the function of the bladder in children. He is the author of many works on bladder dysfunction and urinary incontinence.

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