Patient's question:
Male, 14 years old, generally in good health. This time, the condition: Three weeks ago, he verbally mentioned some pain in his testicles. He went to the hospital, where it was found that the left testicle was larger and the right one smaller. It was diagnosed as epididymitis, and anti-inflammatory medication was prescribed. He took it for a week, followed by a week of intravenous anti-inflammatory fluids, and then another week of anti-inflammatory medication. Three doctors confirmed it was epididymitis. After three weeks, the appearance still showed one larger and one smaller. He then went to a larger hospital for an ultrasound: The right testicle measured approximately 3.4x2.3x2.4cm, with uniform. The head of the epididymis measured about 1.1x0.4cm, and the tail of the epididymis measured about 1.0x0.3cm, with uniform. The left testicle measured approximately 3.7x2.8x2.0cm, with uniform. The head of the epididymis measured about 1.2x0.8cm, and the tail of the epididymis measured about 0.8x0.4cm, with uniform.Doctor's answer:
Hello, then your child is currently experiencing asymmetry in both testicles again, which may be related to varicocele. Varicocele primarily refers to the expansion, tortuosity, and elongation of the pampiniform plexus (vein) due to venous blood stasis in the spermatic cord. It is more common on the left side and is mainly treated through surgical methods. It may have an impact on future fertility, so it is recommended to schedule your child for this surgical treatment at the hospital during their vacation. Wishing your child a speedy recovery!