need some info gents.
I have had a number of men lately that have an enlarged scrotum. i'm not talking about large nuts or enlarged nuts but rather the sac seems to be tightly filled with liquid and enlarged.
is this genetic, caused by an injury, or viral.? am i endangered by sucking their cock ?
would like some info on this condition.
thanks.

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I have a buddy that has a scrotum the size of a grapefruit. It's not pretty and it's hard and appears to be full of some kind of fluid. He sees a doctor that measures it every few months and tells him it's no big deal. I can't tell you what it's called but it's not contagious.

Then again maybe you're running into guys that are into injecting saline into their nut sack. Some of the same guys that use pumps on their dick and balls are also into injecting.

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There isn't just one condition that can cause testicular swelling, there are many. It's impossible to say for sure what, exactly, you are encountering.

Some conditions are very painful -- the guy would NOT be interested in sex. Others are not painful at all, but we'd probably like to hope the guy would be aware that something isn't quite right and might consider abstaining from sex until he has it checked out. Can't count on this, though.

At first glance of your question, I'd have thought that maybe you were a younger guy who was inexperienced and had yet to discover the many possible differences and variations of male genitalia -- this would be the most logical explanation. But your profile says you are forty-four, so unless you've only recently begun to explore male to male sex, this doesn't seem quite right.

What, exactly, is "a number of men," as you define it? Two? Seven? Twenty? How long of a period of time has it been since you encountered this testicular anomaly? Three in a week might be considered an awful lot. Ten in ten years wouldn't be much of an issue, most likely. Are you meeting all these guys from a specific place, or are these random encounters which probably have no connection to each other? Rather obviously, if you were meeting men who all enjoyed penis pumping, as GWT mentioned, you'd be highly likely to run into those who enjoy saline injections, too.

If I were you, I'd ask a guy next time around. "Hey, you've got some really big balls. Were they always this way or do you have some techniques for making them bigger?"

Possibly two of the more common and less painful conditions that will result in this testicular enlargement are hydrocele and varicocele. Google those words; it's a better alternative than me typing for another half hour. While these aren't generally painful, they can cause some heaviness or feeling of discomfort. They aren't contagious.

Epididymitis is an infection of the epididymis (more for you to Google) which can have a few different causes. Generally, this tends to cause various levels of pain and discomfort: sex might not be something these guys are looking for at this time. This happens in about 1 in 1,000 men -- so it seems unlikely that you are meeting all kinds of guys with this condition. It seems just as unlikely, and in fact MORE unlikely, that you'd be meeting men just recently with one of these many possible conditions.

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Okay, just how kinky do you want to be to get your answer?

Dr D's kinky sex advise: Get your friend into a really dark room. I mean dark. Pants and shorts down, an you get down on your knees to do some worshipping. But as you are getting up close and personal, whip out a small flashlight, and shine it on the back of his scrotum.

If he lights up like a halloween pumpkin ( I can't spell jack-o-lantern) (hey, maybe I did!), the guy has a hydrocele, and a big one at that.

Basically, its a large volume of clear fluid, not blood, not sperm, that has infiltrated the tissue that lines the spermatic cord. They can be small, as in peanut size, and they can swell to the size of a grapefruit. If you can't feel his balls in the sack, it's pretty certain its a hydro.

The varicocele that Scruffy was talking about are varicose veins. They usually look really gross and distort the normal shape of a haning scrotum. They look like and feel like a sack of worms. The large ones can hurt, and if large enough, can lead to the atrophy and destruction of the testicle. Doesn't happen too often, but if you have one of those greeby feeling scrota, you might want to talk to a urologist. The operation is very much like a vasectomy, only the spermatic cord is left intact, but the abnormal blood vessels are tied off and may be removed.

As for epididimitis, well, it's unlikely you are going to get as far as getting his pants and shorts off. He hurts, and big time. Even gentle handling of his nuts will not be appreciated. I can't even imagine sex under the circumstances. Think of it as the worse acne abscess you've ever had on your face or nose. Now transfer the pain to you testicle. I think you get the idea.

Nuf medicine for the night. Keep up the good work scruffy.

Danny

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Thanks, Mr. Doctor, Sir.

I don't want to get into a mushy love-fest here, but it's well worth noting that at least a full one-third of anything I happen to know has been taught to me by two terrific doctors I've known online through these many years. Yourself, and the doc who started "The Body" website. He's not the guy in the photo on the home page, and I see no reference to his real name on the site anymore, so I'm not sure if he is still associated with it -- but he's a great doc, deeply concerned and involved with the gay community, safe sex, and HIV prevention, much as you are.

With you here, I feel as though there's a safety net in place: you'll correct anything we might screw up, add finer detail where needed, and provide fresh insight into certain aspects of medicine which we may not have considered.

I think it's important every once in a while to just step back and say "THANKS" for being here. I suspect you are much more appreciated than you may imagine. A little reminder never hurts...

Love the flashlight test! Here again: something new I learned from you. Also -- wouldn't have ever guessed how varicocele might actually FEEL. Good stuff here! You have a good sense of humor, too. That, and your down-to-earth advice is comforting to those who need answers fast.

End of love-fest. Don't reply -- it'll get far too gushy.

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Hey,

I had a double hydrocele/hernia and got it fixed when I was 16. Oh boy that operation hurt! For a week or two after the fact it felt like I was continuously getting kicked in the balls. My sack was like a rock and turned purple. Totally gross. Sometimes I wondered if it was wroth it. I guess the hernia was the big problem and the main reason for surgery, but I wonder what my balls would look like today if I left it (I'm 30). They were about twice the size of normal before the operation (though at night the fluid would drain back into my abdomen and I'd become normal again).

My claim to fame now is that I'm the only guy I've ever met whose had both of his balls outside of his body. (They take them out to work on them - but don't detach them.)

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