On the surface, having huge balls might seem like fun.
However, it turns out the condition isn't all it's cracked up to be, as was found out by a Kenyan man whose testicles ballooned to twenty times the average size.
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Horace Owiti Opiyo, also known as Forence, from Kibigori, Kenya, contracted elephantiasis in his genitals, causing his scrotum and penis to grow to almost a metre long and 5kg in weight.
Credit: Barcroft
Forence has now had surgery which successfully restored his testicles back to normal, and his story has been featured in an episode of the TV show Body Bizarre.
"I told my grandmother that I have been infected by a disease, but I'm not sure what it is," said Forence. "It could be a curse. I knew this was not god's work, but the devil's.
"The pain became increasingly unbearable, so that I couldn't even walk or sit," he added. "I walked as if I had bowed legs."
Credit: Barcroft
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Forence first noticed a cyst on his genitals in 2006 when he was ten years old with an initial attempt to remove the growth proving ineffective.
He was bullied and eventually forced to drop out of school because his condition left him unable to walk or even wear clothes without difficulty.
"This thing started very small, like a boil," Forence said. "Then it was the size of my fist. It just continued to grow bigger and bigger."
With Forence unable to afford more surgery, Forence's neighbour posted pictures of his genitals on Facebook. The county governor's wife saw them and managed to get him to hospital.
Doctors at Jaramogioginga Odinga Hospital diagnosed him with scrotal elephantiasis, likely caused by a mosquito bite leaving him with parasitic worms which blocked his body's drainage system.
Buried deep in his scrotum, scans found that Forence's testicles were completely healthy but the tissue around them was badly swollen.
Credit: Barcroft
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The hospital scheduled two operations: one to remove the excess scrotal tissue and the second to reconstruct his penis to make it visible again.
Head surgeon Dr Dan Raburu said: "We focused on locating and placing the testes in their rightful places.
"We then focused on trying to remove the excess tissue, skin and flesh and fat around this and reconstructing the penile shaft so that it can be visible."
Although there was a risk of him dying due to blood loss, Forence's surgery proved to be a resounding success as he woke up to find that the weight had gone.
In the Body Bizarre episode, Forence says that he is now 'free' and able to do the activities he has missed, such as swimming, running, and playing football. He also found out that he can still become a father.
"I'm trying as much as possible to build myself up so that I can have a wife," Forence said. "But the next step I want to take is to get an education. Who knows what will happen in the future?"
So next time someone praises the size of your balls, just be thankful that they're not actually that big.
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Body Bizarre is on Thursdays at 10pm on TLC UK.
Words: Chris Ogden
Topics: World News, Entertainment, TV and Film, UK Entertainment, Surgery, Kenya