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Urology/testicular atrophy


Dear Dr.
I am 33 years old and when I was 14 I had a left hernia repair. After that time I noticed that my left testicle is small and located in the inguinal canal. As there was no pain or discomfort I ignored it until 2 years ago. 2 years ago I underwent left orchidopexy surgery. Now I feel that my right testicle (the normal side)is diminished in size compared to before surgery. I had normal semen analysis  about 3 months ago.I want to know:
1.the reason of decrease in right testicle size. it possible to determine that the my atrophied left testicle is functional or not?


The reason for the decrease of the right testicle is not clear from the available information, but in general testicles shrink when their blood supply is compromised, they get infected or suffer some other injury.

There is no easy way to tell if the left atrophic testicle is functional.  A biopsy can be done to see if it is making any sperm, but there is no other way to tell if it is making male hormone or not.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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