### Patient: Doctor, I'm experiencing impotence, lower abdominal pain, involuntary urination, penis pain, and also noticed some skin growth down there. What could be wrong with me?
### Doctor: Based on your symptoms, you may have a varicocele of the testicles. This is when the veins inside the scrotum become enlarged and form a lump, which can cause pain and discomfort. It can also lead to erectile dysfunction, which could explain your impotence.