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EP224: Uneven sac dragging me down | PUTTING DR G ON THE SPOT
The Star
Follow
5/26/2024
Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, explains to a reader why he developed something that resembles a lump that is dragging his testicle and how he could treat it.
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Transcript
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00:00
Hello there, welcome to the final episode in the month of May when we're talking
00:05
about various forms of scrotal abnormality that may or may not result
00:10
in sexual dysfunction. And this week we're going to talk about accumulation
00:14
of fluid inside the testicle.
00:18
Exactly how does fluid get into the testicle? In fact there are two ways. One
00:27
form is called hydrosil. Imagine that the testicle is surrounded by fluid that
00:33
allows it to move and sometimes that fluid itself can get accumulated
00:37
actually from fluid directly from the abdomen or sometimes it can be secondary
00:43
hydrosil that is caused by infection or cancer of the testicle. The fluid itself
00:49
can cause enlargement. On the other hand there may be another fluid accumulation
00:54
caused by something called epididymosis. In fact nobody knows why
00:59
epididymosis occur but it's very common up to 10 to 20 percent of general
01:04
population. Epididymosis itself can accumulate around epididymis and can get
01:10
quite big and it's difficult to differentiate between epididymosis
01:14
and hydrosil. So does that cause sexual dysfunction? Well unless it becomes so
01:22
big that it is so uncomfortable, yes it might but overall it doesn't associate
01:29
with sexual dysfunction. And the operation itself is a simple operation
01:34
what we actually will correct the actual hydrosil or on the other hand excise the
01:43
epididymosis to make the testicle less dragging and less heavy and for the
01:49
patient to be less uncomfortable when they have sexual intercourse. So
01:54
indirectly the accumulation of fluid itself might create anxiety and makes
02:00
men worried about sexual activity but directly it is not associated with
02:05
sexual dysfunction and the relief of that fluid actually most of the time
02:10
makes men a little bit happier and less dragging effect in the scrotum causing
02:16
problems during intercourse. For the month of June we're going to devote the
02:22
whole month to pediatric problems and the first week we're going to talk about
02:27
undescended testicle. If your child suffers from undescended testicle or you
02:32
worry you yourself as an adult might actually have one testicle that's hiding
02:36
away, then you stay tuned for next week's Putting Dr. G on the Spot.
02:44
you
02:46
you
02:48
[BLANK_AUDIO]
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