A few months ago, I’d started to experience swelling of my scrotum (at the time, my scrotum was the size of a softball or slightly smaller). At first, I’d believed it was normal because there was no pain, no discharge, nothing else out of the ordinary, except for frequent urination. I’d had a test for STDs, and I was clean.
After all, my body had undergone other changes. I’d lost a lot of weight three years ago. I’m almost completely bald. I have hair growing everywhere (except from my head, of course!). I had perfect skin throughout my teen years and suddenly developed weird, oily skin in my 30’s — along with acne. I developed more in-grown hairs than I believed were ever possible. Things were happening. If my scrotum had begun to grow and it wasn’t hurting me, who I was I to worry? Maybe I was just becoming some kind of majestic creature, like a lion king in one of those Animal Planet shows? Sure, I’d be happy to let the younger ones snare and kill a gazelle while I sat there in the not-so-hot Northeastern sun showing off my impressively-sized testicles!
I started dating my girlfriend last summer. A few months after we’d started dating, she’d noticed the scrotal abnormality, and we’d had a conversation something like this:
She: This can’t be normal.
Me: I don’t know what’s up with it.
She: Does it hurt?
Me: No, not at all.
She: You should really go and get it checked out.
Me: Well, I mean I do have hair growing out of my ears and all this other stuff. Maybe it’s perfectly normal?
She: (looking at me in disbelief) Dude, just go to the doctor’s! Make an appointment! Go! Seriously, while it was kind of shocking to see you like this at first, now I’m getting concerned: really concerned.
I made an appointment with my PCP in October 2005 and, as I expected, I was in perfect health… until he examined my abnormally large scrotum. He was very concerned, noted how testicular cancer was very treatable these days, and sent me immediately to a urologist.
I was fine until I found myself sitting in the urologist’s office. Not only was I — by far — the youngest male there, I realized that I was totally in love with my girlfriend, had already considered a future with her (if she’d have me), and in it there was no place for testicular cancer.
Many things were going through my head, and I don’t feel like discussing them here.
The urologist noted my (young) age and otherwise perfect health, chided me for being a smoker, and took at look at my scrotum. A medical school resident was by his side (this hospital is a teaching hospital for Tufts University as well) and when he saw my scrotum, his eyes grew wide. He apologized, and I told him not to worry about it. After shining a flashlight through my scrotum (which is a spot check for testicular cancer), the urologist began to poke and prod, until he nicked one of my testicles. I winced in pain.
(You see, since my scrotum was so swollen, my testicles had become misaligned and were severely out of place, so a testicle was not where anyone would’ve expected to have found it.)
Since I had experienced pain, the doctor was concerned. He sent me immediately for an ultrasound. For nearly an hour, I laid on an examination table, looking up at a picture of a “peaceful” bird on the ceiling, while a technician ran an ultrasound device over my scrotum time and time again. I was very nervous, since I had no idea what was taking place. I could not stand to look at the monitor where my scrotum and testicles were on display. I could not look past the pretty bird on the ceiling. I kept answering the same questions over and over, like: “have you suffered a blow to the groin in the past?”, or, “have you done any heavy lifting on a regular basis?”
After the ultrasound was done, I had to urinate like you would not believe. I pulled up my pants and ran to the bathroom. When I got out, the doctor informed me that I did not have testicular cancer, and that my testicles were alive and had a pulse. Instead, he told me I had a condition known as a “hydrocele”. I had three options:
- I could leave things alone so long as the hydrocele did not grow substantially.
- He could drain the fluid from the scrotum right away, but it would return in a month or so.
- I could have a hydrocelectomy to abate the hydrocele entirely (there’s a 2-3% recurrence rate, which I found to be acceptable).
I did further research about hyrdocele, and concluded that I would have surgery. Based on my reading, if untreated, a hyrdocele can (but not always) strangle the testicles due to pressure in the scrotum. I did not want things to get worse. I wanted my scrotum to be back to normal. And I wanted relief most of all. I scheduled the surgery for January 2006, and had two months to reconsider.
I had my surgery on January 16, 2006. While I would receive a general anesthetic, the procedure would take an hour and would be done on an outpatient basis. My girlfriend and father came along for the procedure and by 7:50am, I was sedated and on my way to the operating room.
After they woke me up in the OR (did any procedure actually take place?), I was back in recovery by 9:00am or so (I forget exactly since I was “out”). I was walking by 9:45am and by 10:30am, I had reunited with my girlfriend and father. I had grown tired of this hospital experience, and felt it was time to leave.
When we returned home, I had some snacks and my painkiller. We all took naps. My girlfriend was a total angel by preparing meals and tidying up. She had to return to work on Wednesday, tho, so my father took over after that. He’s been stellar as well.
As for me, I am on the mend, even though I am kind of moody and depressed in a not-so-goth kind of way. I had extreme pain on Monday night through Thursday. I’ve had an ice pack on my groin every day, almost all day. The pain is much more bearable now, and I’m starting to walk like a normal human again (as opposed to the troll I’d been impersonating since Monday when I left the hospital).
I’ll be back to work next week, on 1/30. Still in pain. Still on painkillers. But it’s been getting better everyday, so I can’t complain.