Hello Doctor, I have a problem with my scrotal as it get swell everytime when I go to toilet to have a poo, it start to swell when I have the bowel movement and when I go out for a run, walking it will swell in my scrotal. And i'm also suffered with erectile dysfunction. One doctor said that the scrotal swelling could be likely hydrocele or varicocele. Are one of them related to my erectile dysfunction problem? I need to know which of them either hydrocele or varicocele is related to my ED problem and cause scrotal to swell. Can you please take a look at the pics to see what I might have got?  1:56a

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hello doctor  1:56a
hi, reviewing, any pain or discomfort ??  1:56a
discomfort  1:57a
please see the pics what i might have  1:57a

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can you see the pics of what I might have and if it related to my ED problem and cause my scrotal to swell when I have bowel movement, when i go out for a run...etc?  1:58a
?  1:59a
are you there doctor?  1:59a
yes i see the pics. Hydrocele is swelling in the scrotum due to a build-up of fluid around the testicle(s). It occurs in two forms: Communicating hydroceles—associated with hernias and are usually seen in baby boys Non-communicating hydroceles—collections of fluid around the testicle and may occur at any age  1:59a
Do you know why it cause my scrotal to swell and what I might have?  2:00a
However, a varicocele is swelling in the scrotum due to a back up of blood in the main veins of the scrotum. Varicoceles are most common among teenagers and adult men. Not all hydrocele or varicoceles require treatment.  2:00a
Do you know why it cause my scrotal to swell and what I might have?  2:01a
i have this problem going on for 2 years now  2:01a
it is not the easiest to call from a picture, one might think its a hydrocele but  2:01a
Oh right  2:02a
you need an examination. and yes, this could lead to erectile dysfunction.  2:02a
Oh I see, finally i found what the problem is  2:02a
i had ultrasound few times and it didn't pick up  2:02a
did you have any symptoms in your youth ??  2:02a
what made them get an ultrasound, the ED ?  2:03a
i cant get full erection during morning sleep and when i am with my partner  2:03a
i see. And when is your MRI scheduled for ?  2:03a
1st july  2:04a
I see and you also have a followup with Dr. Hodge ?  2:04a
will MRI pick up either hydrocele or varicocele ?  2:04a
yeah i did, but i need to confirm the problem which i am now  2:05a
we should be able to get more soft tissue detail from the MRI. the bigger issue is when you are going to see a urologist, they should be guiding your diagnosis, and next steps ? did you make an appointment with a specialist ??  2:05a
yes i will do but my doctor need the results first  2:06a
will i need to have operation?  2:07a
that is likely to be the case ?  2:07a
what have your MD's been telling you for the past 2 years ??  2:08a
my MD has been doing nothing to help me with my problem and i am very frustrating and angry with the way they treated me  2:08a
I wish I had the money to go private, but in my country I use NHS as a free health service when I pay tax  2:09a
but it is awful because you have to wait 3 weeks to see a doctor!  2:09a
well the waits here can be a while also. I think the most important step is a referral to Urology.  2:10a
are you able to book an appointment with a specialist directly ?  2:10a
Yeah, but if they cant find the problem i would have to go to london to see the high specialist  2:10a
*top specialist  2:10a
i see, that may need to occur. Given our distance we are limited to get your imaging and consultations arranged  2:12a
you are young and so i would like to get this resolved quickly  2:14a
yeah me too  2:15a
when my doctor get the results first, he will either book me to see the urologist in my local hospital or in london  2:15a
hopefully the problem get resolved  2:16a
can I be able to do penis enlargement 8 weeks after the surgery?  2:16a
ok. well do keep us posted  2:16a
will do  2:16a
I have to be careful as I don't want to have the same old problem again  2:16a
an enlargement will best be discussed with your surgeon but  2:17a
what is your opinion? should i do it 8 weeks after the surgery?  2:17a
it will give me enough time to recover  2:17a
i would wait until the first surgery is fully and completely healed  2:18a
before completing another  2:18a
yeah i will wait until it fully healed  2:19a
are you sure i do have hydrocele?  2:19a
ok, that makes me feel better.  2:19a
or varicocele  2:19a
You have spoken to several doctors on our service. No one is going to be able to guarantee its a hydrocele. However, it does have that appearance and in the past 2 years, your MD should be able to have gotten you to a Urologist to confirm it. What did the ultrasound show, if that result is back ?  2:20a
it show nothing on ultrasound  2:21a
it show as normal  2:21a
i want to know if they are either related to a cold reaction to my glans?  2:21a
cold reaction to your glans ?? not sure what you mean ?  2:21a
i get a cold on my glans when i have bowel movement  2:22a
as when i go to toilet  2:22a
my glans get cold when i go to toilet  2:22a
do it cause by hydrocele or varicocele?  2:23a
?  2:23a
please be quick before time run out  2:24a
the glans getting cold can be normal  2:24a
it may not necessarily be caused by the cele.  2:24a
as you know the scrotum is usually lower than body temperature.  2:24a
i think that is tangential to the erectile dysfunction which is important for us to address  2:24a
yeah but i never have that before  2:24a
and the diagnosis.  2:25a
if we treat the fluid collection, the other symptoms should improve  2:25a
ok  2:25a
we will not get away from needing to see a Urologist which I know you plan to do ASAP  2:25a
i realize you are stressed, we are here  2:25a
yeah i will do  2:25a
yeah you can see that i am  2:25a
and we will help as we can but legally we have to be careful  2:25a
to not advise specialty care in this situation  2:26a
we can get in big trouble  2:26a
i hope that helps  2


Source: HealthTap, https://www.healthtap.com/ask_docs/transcript/45557