got my ultrasound results!!! i have a varicoceles!!(good news i think)

[powerlifterty16]

OK, so as i'm sure the whole forum knows LOL, i went for my testicular ultrasound I have a history of low test for my age(or any age below 70 lol), and i felt lumps, and pain in my nuts. I decided, since my doctor is a moron, that i'd drive to the radioloogists' and get my results. I picked up both the report, and the films.

Below, I will write out the exact report. I also have questions so I will write them out after the report. All answers will be appreciated .


Below is my report...

Exam: testicular ultrasound with DOPPLER
Clinical indication Male Genital disorder unspecified
Technique:Grayscale color and duplex doppler sonography was performed of the scrotum. No pertinent prior have been submitted for comparison.

Findings
The right testis measures 4.8x2.1x2.8 cm The left testis measures 5.2x2.1x3.1 cm

The testicular echotexture bilaterally is normal without discrete lesions.

There is Physiologic amount of fluid in each hemiscrotum

Normal arterial inflow and venous outflow was identified using doppler ultrasound.

The largest paratesticular vein measures approximate 2mm on each side. Findings to just borderline bilateral varioceles.

Impression Borderline bilateral varicoceles. No accute findings.




OK SO NOW FOR SOME QUESTIONS
1- It doesnt sound like I have cancer right? That's the impression I'm getting.
2- Is my testicle si*e normal? One of the reasons I wanted to get this done was to see if my testes are normal si*ed. Also is the si*e diff between the two testes normal? I know there is supposed to be some si*e difference, but is this normal?

3- what does ''there is a physiologic amount of fluid in each hemiscrotum'' mean? Is that a good result or bad?

4-So, I was kind of hoping I had varicoceles. I was under the impression that I could get surgery g devine talks about, and it wouldnt be a big operation, and then I could get my test levels back to normal, and wouldnt have to take trt? It says they are borderline though

[steroid.com 1]

OK SO NOW FOR SOME QUESTIONS
1- It doesnt sound like I have cancer right? That's the impression I'm getting.
No lesions were found...no suspected cancer.

2- Is my testicle si*e normal? One of the reasons I wanted to get this done was to see if my testes are normal si*ed. Also is the si*e diff between the two testes normal? I know there is supposed to be some si*e difference, but is this normal?
Normal.

3- what does ''there is a physiologic amount of fluid in each hemiscrotum'' mean? Is that a good result or bad?
Means normal amounts.

4-So, I was kind of hoping I had varicoceles. I was under the impression that I could get surgery g devine talks about, and it wouldnt be a big operation, and then I could get my test levels back to normal, and wouldnt have to take trt? It says they are borderline though
You got it correct.

[kelkel]

There is Physiologic amount of fluid in each hemiscrotum

Normal arterial inflow and venous outflow was identified using doppler ultrasound.

The largest paratesticular vein measures approximate 2mm on each side. Findings to just borderline bilateral varioceles.

Impression Borderline bilateral varicoceles. No accute findings.

OK SO NOW FOR SOME QUESTIONS
1- It doesnt sound like I have cancer right? That's the impression I'm getting.Completely different thing
2- Is my testicle si*e normal? One of the reasons I wanted to get this done was to see if my testes are normal si*ed. Also is the si*e diff between the two testes normal? I know there is supposed to be some si*e difference, but is this normal?Stop micromanaging your nuts. We are all different.

3- what does ''there is a physiologic amount of fluid in each hemiscrotum'' mean? Is that a good result or bad?It means your normal.

4-So, I was kind of hoping I had varicoceles. I was under the impression that I could get surgery g devine talks about, and it wouldnt be a big operation, and then I could get my test levels back to normal, and wouldnt have to take trt? It says they are borderline though

So, now you have to talk to your doc more and see what the next step is. In the meantime do more research. You'd be "nuts" not to!

In bold above. It really is great that you found an answer. Good work.

[kelkel]

Check this out:

http://varicoceles.com/

Hello G!

[powerlifterty16]

Check this out:

http://varicoceles.com/

Hello G!

thanks to all who replied(makes me chuckle because it's only 2 so far ha)
Both of your replies are appreciated! Do you think the endo I am going to in may will have experience in this? I know the proper protocol is to see a urologist speciali*ing in microsurgery.
I'm going to take a look at that link you posted kel.



I have an endo referral for may, but i really want microsurgery at cornell in ny. Im on medicaid though so im guessing i need a refferal. If the surgery can boost me to a decent test level, that would be great.

This dr is sucha piece of trash that she didnt even call and tell me my results. Not only that, but i called her at 10 this morning, and it's 3pm now and still no return call. im guessing when she finishes her shift, she will call me and tell me im normal and the ultrasound was fine -_-. If i didnt go for the report myself id still be worried ihad ****ing cancer in my balls.

[powerlifterty16]

so finally got a call from the dr at 6 pm LOL....im a real high priority on her list huh? I decided not to answer it. She has never said anything of substance in the past, and I knew she would only make me angry If i answered. I listened to the voicemail she left, and it was a 2 second message on how the findings were of no concern LOL.

I'll play her game, and leave her a message saying ''Hi doc, i got your message and i went to get the report earlier in the day from the imaging facility. I noticed i had varieceles. Whether they are of concern or not, I am still having pain in my testicles and was wondering if you could give me a refferrral for further evaluation from a urologist. My endo appt isnt for another 2 months, and I'd like so see a urologist for the pain''

It's true i have mild pain(nothing cra*y)..but i just want to see a urologist who can help me out.....after isee the urologist, and the endo im ditching this doctor...she is useless.

[kelkel]

Read that link. It's not all "surgery" for this. Use google to search for doc's who speciali*e in what you need. When it comes to finding a new doc I'd suggest one with testicals as soon as possible.

[steroid.com 1]

Read that link. It's not all "surgery" for this. Use google to search for doc's who speciali*e in what you need. When it comes to finding a new doc I'd suggest one with testicals as soon as possible.

No shit on that one kel!

[powerlifterty16]

i just left the primary care physician a message asking for a refferal to the urologist. She is pretty uncooperative, so im guessing she won't give me one.
My dad also doesnt care...after all who needs testosterone ...it's only for aggressive people.....at vleast that's what the stupid dr will have you thinking.

[kelkel]

Really, really horrible. If she doesn't give you a referral you should report her to the board.

[powerlifterty16]

I dont even think she is trying to be malicious which is the sad thing. I think she is just misinformed! I dont feel bad for her, and I am angry with her, but i'm, just saying..it's sad how uneducated these drs are(and how educated they THINK they are).
I honestly think she doesnt feel a varicocele is a problem....she didnt even mention it when she called about thew results. She just said nothing is of concern.


The report said the varicocle was minor borderline.....is it still worth investigating? I know you guys said yes, but maybe you just skimmed that part? I definitley notice something is in there though lol.

[kelkel]

Personally I think you'd be "nuts" not to at least look into it further with an educated doctor. He may be able to give you an opinion on how much or little improvement would result from procedures to rectify it.

[powerlifterty16]

lol you love saying ''nuts''huh lol. hahaahah
Yeah man, i agree...trust me i dont agree with this dr at all..but what am i supposed to do if she won't refer me? lol.

also..i just looked at my insurance drs, and none of them specialize in varicoceles.


This is my top pick from my insurance.
http://www.vitals.com/doctors/Dr_Tro...eh/credentials

[powerlifterty16]

kel, on that sire you gave me, when iwent to physician finder it only gives me radiologists?

[steroid.com 1]

Personally I think you'd be "nuts" not to at least look into it further with an educated doctor. He may be able to give you an opinion on how much or little improvement would result from procedures to rectify it.

I can't add more to what my friend kel said here; you'd be nuts not to seek out the proper care.

It's a fact, varicocle's causes Primary Hypogonadism...get it fixed my friend!

And make sure to tell your "Physician" that you are moving to get the right care...it's important.

[powerlifterty16]

gdevine...do you think the fact that ir's borderline and minor negates it at all? Yup, im def gonna try to get this sorted out....all i have in myinsurance are normal urologists. should i trust them with the procedure? Im sure without insurance this stuff is crazy pricey

[steroid.com 1]

Here's the one thing I've learned in my personal studies of HRT in men...there is nothing borderline or normal...we're all different.

What's normal for one guy could be totally upside-down for another.

This is why I love cutting edge anti aging medical practitioners; they see patients' as individuals and not as part of a statistical algorithm.

Says something does it not...

[powerlifterty16]

that's true. the variacocele was big enough for ME to notice.....so I think it is big enough to cause problems. The embolization uses radiation, so i think id get microsurgery...i have to see.
I called and made sure they got my message asking for a refferral...we will see what happens later.

[lovbyts]

Just be glad it's not a spermatocele. Thats what I had. It felt like someone kicked you in the nuts about 2x a month. To remove it they have to cut the scrotum down the middle from front to back and take EVERYTHING out. No micro surgery.

Actually it was not bad. Only problem I had was I ripped a few stitches 2 weeks later when I was out jet skiing and some white fatty tissue started sticking out. Doctor just shook his head and said stop and let it heal. lol

[kelkel]

Just be glad it's not a spermatocele. Thats what I had. It felt like someone kicked you in the nuts about 2x a month. To remove it they have to cut the scrotum down the middle from front to back and take EVERYTHING out. No micro surgery.

Actually it was not bad. Only problem I had was I ripped a few stitches 2 weeks later when I was out jet skiing and some white fatty tissue started sticking out. Doctor just shook his head and said stop and let it heal. lol

Well, there goes lunch.....

[steroid.com 1]

Well, there goes lunch.....

...and dinner

[powerlifterty16]

OK, so as i'm sure the whole forum knows LOL, i went for my testicular ultrasound I have a history of low test for my age(or any age below 70 lol), and i felt lumps, and pain in my nuts. I decided, since my doctor is a moron, that i'd drive to the radioloogists' and get my results. I picked up both the report, and the films.

Below, I will write out the exact report. I also have questions so I will write them out after the report. All answers will be appreciated .


Below is my report...

Exam: testicular ultrasound with DOPPLER
Clinical indication Male Genital disorder unspecified
Technique:Grayscale color and duplex doppler sonography was performed of the scrotum. No pertinent prior have been submitted for comparison.

Findings
The right testis measures 4.8x2.1x2.8 cm The left testis measures 5.2x2.1x3.1 cm

The testicular echotexture bilaterally is normal without discrete lesions.

There is Physiologic amount of fluid in each hemiscrotum

Normal arterial inflow and venous outflow was identified using doppler ultrasound.

The largest paratesticular vein measures approximate 2mm on each side. Findings to just borderline bilateral varioceles.

Impression Borderline bilateral varicoceles. No accute findings.




OK SO NOW FOR SOME QUESTIONS
1- It doesnt sound like I have cancer right? That's the impression I'm getting.
2- Is my testicle si*e normal? One of the reasons I wanted to get this done was to see if my testes are normal si*ed. Also is the si*e diff between the two testes normal? I know there is supposed to be some si*e difference, but is this normal?

3- what does ''there is a physiologic amount of fluid in each hemiscrotum'' mean? Is that a good result or bad?

4-So, I was kind of hoping I had varicoceles. I was under the impression that I could get surgery g devine talks about, and it wouldnt be a big operation, and then I could get my test levels back to normal, and wouldnt have to take trt? It says they are borderline though

if i cant find a varicocele specialist in my neighborhood should i just go to a urologist?(if the dr. agrees to refer me to one)

[powerlifterty16]

if i cant find a varicocele specialist in my neighborhood should i just go to a urologist?(if the dr. agrees to refer me to one)

ok, so it looks like i got the refferral(the nurse called me with a list of urologists...although didnt say i def had the refferal but it sounds like i did get one)

any thoughts on what i should do? I dont see any varicocele specialists on my plan(horizon nj health).

[kelkel]

Maybe this will help. Never forget google:

http://www.varicocelespecialists.com/mappg.htm

[powerlifterty16]

Maybe this will help. Never forget google:

http://www.varicocelespecialists.com/mappg.htm

thanks, but the drs there in the nj/nyc area as well as other google drs, accept very little insurance...should i bother going to a regular urologist?

[powerlifterty16]

bump for any opinions on what i should do...the doc has the referral waiting.

[kelkel]

Call them and see what they specialize in or if they can refer you to someone local who is up to the task.

[powerlifterty16]

some guy on the crisler forum was telling me that my t wouldnt improve because the varicocele was smal... i disagree because i think any varicocele interferring with the testes can screw things up...plus i have them on both sides.


well marc goldstein agrees

http://urologytimes.modernmedicine.c...one-increase-r


im scheduling my appt with the urologist for later this month. He went to nyu, and has 9 yrs experience so a more modern dr i hope. He is a surgeon too, but it says robotic surgery....but he will do for a consult i suppose.
I really wanted to go to dr goldberg but unfortunately he doesnt take much insurance....

[AnabolicDoc]

OK, so as i'm sure the whole forum knows LOL, i went for my testicular ultrasound I have a history of low test for my age(or any age below 70 lol), and i felt lumps, and pain in my nuts. I decided, since my doctor is a moron, that i'd drive to the radioloogists' and get my results. I picked up both the report, and the films.

Below, I will write out the exact report. I also have questions so I will write them out after the report. All answers will be appreciated .

Below is my report...

Exam: testicular ultrasound with DOPPLER
Clinical indication Male Genital disorder unspecified
Technique:Grayscale color and duplex doppler sonography was performed of the scrotum. No pertinent prior have been submitted for comparison.

Findings
The right testis measures 4.8x2.1x2.8 cm The left testis measures 5.2x2.1x3.1 cm

The testicular echotexture bilaterally is normal without discrete lesions.

There is Physiologic amount of fluid in each hemiscrotum

Normal arterial inflow and venous outflow was identified using doppler ultrasound.

The largest paratesticular vein measures approximate 2mm on each side. Findings to just borderline bilateral varioceles.

Impression Borderline bilateral varicoceles. No accute findings.

OK SO NOW FOR SOME QUESTIONS
1- It doesnt sound like I have cancer right? That's the impression I'm getting.
2- Is my testicle si*e normal? One of the reasons I wanted to get this done was to see if my testes are normal si*ed. Also is the si*e diff between the two testes normal? I know there is supposed to be some si*e difference, but is this normal?

3- what does ''there is a physiologic amount of fluid in each hemiscrotum'' mean? Is that a good result or bad?

4-So, I was kind of hoping I had varicoceles. I was under the impression that I could get surgery g devine talks about, and it wouldnt be a big operation, and then I could get my test levels back to normal, and wouldnt have to take trt? It says they are borderline though

I apologize, I only read the OP and not the entire thread. A 2mm varicocele is nothing to worry about. Most varicoceles do not cause any problems. If you are infertile and have significant varicoceles (typically considered over 3 or 4mm, depending on source), then varicocele surgery is indicated, but only about half will have a positive response. Go see a urologist, just to be thorough, but I can almost guarantee that he will say that the varicoceles insignificant. Also, did the person doing the ultrasound ask you to bear down (increase intra-abdominal pressure), bc by definition varicoceles have to get bigger when bearing down. Most importantly, for varicoceles to be clinically significant, meaning the source of a problem, arterial /or venous flow need to be disrupted. Your report clearly states normal flow. Go see a urologist to put yourself at ease and for reassurance, but I highly doubt he will think that the your dilated veins even fit the criteria to be considered varicoceles. Then again, I'm not a urologist so maybe I'm wrong. Go to emedicine and search for varicocele. You will get good info there. Good luck!

[powerlifterty16]

she asked me to push down as if i was taking a number 2 lol. Either way, i had them bilaterally so there was more than one. All I know is that I have low testosterone , and i felt the varicoceles before the ultrasound..which is why i got them.
read this article from renowned urologist marc goldstein as far as grades/test levels. It says all grades of bilateral showed test reduction, so i think you're wrong ...but i do agree that a urology visit is the only way to proceed for now.... http://urologytimes.modernmedicine.c...one-increase-r

I apologize, I only read the OP and not the entire thread. A 2mm varicocele is nothing to worry about. Most varicoceles do not cause any problems. If you are infertile and have significant varicoceles (typically considered over 3 or 4mm, depending on source), then varicocele surgery is indicated, but only about half will have a positive response. Go see a urologist, just to be thorough, but I can almost guarantee that he will say that the varicoceles insignificant. Also, did the person doing the ultrasound ask you to bear down (increase intra-abdominal pressure), bc by definition varicoceles have to get bigger when bearing down. Most importantly, for varicoceles to be clinically significant, meaning the source of a problem, arterial /or venous flow need to be disrupted. Your report clearly states normal flow. Go see a urologist to put yourself at ease and for reassurance, but I highly doubt he will think that the your dilated veins even fit the criteria to be considered varicoceles. Then again, I'm not a urologist so maybe I'm wrong. Go to emedicine and search for varicocele. You will get good info there. Good luck!

[AnabolicDoc]

The way varicoceles negatively impact testicular function is via alteration of venous and/or arterial flow. Your's is not affected according to the report. I understand that you think this article tells differently so I will read it later today, but you have to understand what I'm telling you is not my opinion. Rather it's what the literature (textbooks and studies) have shown.
Also if your FSH and LH were low (which you didn't mention) then that would convey a diagnosis of secondary (hypogonadotropic) testicular failure (hypogonadism), which would mean there's no way to tell if your "borderline varicoceles" are even making an impact.

[dave900]

Wait so your varioceles are so small you needed an ultrasound to detect them?

I was diagnosed with grade 3 varioceles, which are varioceles that are big enough to see without an ultrasound. I went to a varioceles specialist who didn't 100% believe that I should get the surgery done for low testosterone reasons alone. He recommended that I get semen analysis tests, they all came out below normal so he recommended the surgery. However I made a big mistake by not telling the doctor I had pain ( didn't really have pain until recently) and now I'm just trying to get my insurance to approve the surgery ( they don't want to do the surgery for fertility reasons). So now I'm sending my medical records to the insurance to see if they will approve the surgery for testicular damage prevention. Long story short , tell the doctor you are having pain, that will get them on the ball of fixing varioceles faster.

[powerlifterty16]

The way varicoceles negatively impact testicular function is via alteration of venous and/or arterial flow. Your's is not affected according to the report. I understand that you think this article tells differently so I will read it later today, but you have to understand what I'm telling you is not my opinion. Rather it's what the literature (textbooks and studies) have shown.
Also if your FSH and LH were low (which you didn't mention) then that would convey a diagnosis of secondary (hypogonadotropic) testicular failure (hypogonadism), which would mean there's no way to tell if your "borderline varicoceles" are even making an impact.

I need updated blood work. i havent had blood done in a few years. My primary refused to order me anything besides tsh, lipids, and vitamin d/b12(because she wants to prove im killing myself by taking 10k d per day) i didnt get those done though as tsh is useless without the other thyroid numbers, and i want my dang test and other hormones checked since they have been low in the past. I hope the urologist tests them. In the past, my lh/fsh were in the 2.0 range.. i think one number was 2.9

[powerlifterty16]

Wait so your varioceles are so small you needed an ultrasound to detect them?

I was diagnosed with grade 3 varioceles, which are varioceles that are big enough to see without an ultrasound. I went to a varioceles specialist who didn't 100% believe that I should get the surgery done for low testosterone reasons alone. He recommended that I get semen analysis tests, they all came out below normal so he recommended the surgery. However I made a big mistake by not telling the doctor I had pain ( didn't really have pain until recently) and now I'm just trying to get my insurance to approve the surgery ( they don't want to do the surgery for fertility reasons). So now I'm sending my medical records to the insurance to see if they will approve the surgery for testicular damage prevention. Long story short , tell the doctor you are having pain, that will get them on the ball of fixing varioceles faster.

that post took a completely different direction than i thought it would. I thought you were going to yell and scold me, and tell me not t oget the surgery LOL.

As for your question, I knew something was wrong with my balls. I felt a little pain(nothing crazy), and then when i touched and felt around in my balls I could feel abnormalities. When i went to the doc she couldnt feel the varicoceles however. The ultrasound shows them though. I have read that some varicoceles cant be detected while laying down though.

I'm way ahead of you on the telling the drs i have pain stuff though. The primary said that the varicoceles were of no importance, so when asking for a refferral for a second opinion form the urologist i said im still having testicular pain.

This GP may not be knowledgeable on many things however she has in her defense given me referrals, and ordered the ultrasound..and besides being condescending towards me, is pretty respectful i guess.

[Rusty11]

A lot of good info here. I have nothing of value to add except to say, whatever is going on, testicular pain is no fun. Good luck.