Painful Lump Above Left Testicle: Should You Wait for Medical Check? - Urology

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There is a mass above the left testicle?


Hello, doctor.
Yesterday, I accidentally discovered that pressing on my testicles causes some pain.
Upon examination, I found a hard lump above the left testicle, which seems to be in the area of the epididymis.
Since the upcoming holiday is the Mid-Autumn Festival, would it be too late to seek medical attention next week? Given these symptoms, could this be indicative of epididymitis?

Luo Yao La, 10~19 year old female. Ask Date: 2016/09/14

Dr. Sun Hongshun reply Urology


Hello: That area is indeed the epididymis, and the likelihood of epididymitis is not low; however, other testicular conditions cannot be ruled out.
During the Mid-Autumn Festival holiday, all outpatient services at our hospital (including urology) will operate as usual.
If needed, please visit the outpatient department for follow-up.

Reply Date: 2016/09/14

More Info


When it comes to experiencing a painful lump above the left testicle, it is crucial to take this symptom seriously and seek medical attention as soon as possible. While it may be tempting to wait until after a holiday or a long weekend, any new or unusual lump in the testicular area warrants prompt evaluation by a healthcare professional.
The presence of a hard lump in the scrotal area, especially if it is associated with pain, could indicate several conditions, including epididymitis (inflammation of the epididymis), a testicular torsion, or even a more serious condition such as a testicular tumor. Epididymitis is often characterized by swelling and tenderness in the area and can be caused by infections, including sexually transmitted infections. Testicular torsion, on the other hand, is a surgical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition typically presents with sudden, severe pain and requires immediate medical intervention to prevent permanent damage.

Given that you have noticed pain and a lump, it is advisable not to wait until after the holiday to seek medical evaluation. Delaying medical attention could lead to complications, especially if the condition is serious. If the lump is indeed due to epididymitis, early treatment with antibiotics can help resolve the infection and alleviate symptoms. If it is a torsion, immediate surgical intervention is necessary to save the testicle.

In terms of what to expect during a medical evaluation, a healthcare provider will likely perform a physical examination, which may include palpating the scrotum and assessing the lump's characteristics. They may also order an ultrasound to visualize the structures within the scrotum and determine the nature of the lump. Blood tests and urinalysis may also be conducted to check for signs of infection or other underlying issues.

In summary, do not wait until after the holiday to seek medical attention for a painful lump above the left testicle. It is essential to have a healthcare professional evaluate your symptoms to rule out serious conditions and initiate appropriate treatment. Your health and well-being should always come first, and timely medical intervention can make a significant difference in outcomes for conditions affecting the testicles.

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