Epididymitis: Symptoms and Concerns for Teens

Epididymitis

Doctor, last time I was playing on the computer and halfway through, I started to feel pain in my lower back.
When I went to the bathroom to check, I found a small hard lump on the left side of my right testicle, and when I touch it, it causes pain in my lower back.
I'm worried that it might be testicular cancer, but by the next day, the pain in my testicle and back was gone, although the small hard lump is still there.
I'm really scared...
and I'm 13 years old.

Luo Xiangyu, 10~19 year old female. Ask Date: 2016/10/10

Dr. Sun Hongshun reply Urology

Hello, the chances of testicular cancer are low, but it is still recommended to consult a urologist.

Reply Date: 2016/10/10

More Info

Epididymitis is an inflammation of the epididymis, which is a coiled tube located at the back of the testicle that stores and matures sperm. It is important to understand the symptoms and concerns related to this condition, especially for teenagers like yourself.

Symptoms of Epididymitis
The symptoms of epididymitis can vary, but they typically include:
1. Pain and Swelling: The most common symptom is pain in the scrotum or testicles, which may be accompanied by swelling. This pain can sometimes radiate to the lower abdomen or back.

2. Hard Lumps: You mentioned feeling a small hard lump, which could be related to the inflammation of the epididymis. In some cases, the epididymis can become enlarged and feel like a lump.

3. Redness and Warmth: The affected area may appear red and feel warm to the touch.

4. Discharge: There may be a discharge from the penis, especially if the cause is an infection.

5. Urinary Symptoms: Some individuals may experience painful urination or an increased urge to urinate.

Concerns for Teens
As a 13-year-old, it’s understandable to be concerned about your symptoms, especially with thoughts of more serious conditions like testicular cancer. Here are a few points to consider:
1. Infection vs. Cancer: Epididymitis is often caused by bacterial infections, including sexually transmitted infections (STIs), but it can also occur due to non-infectious causes. Testicular cancer typically presents differently, often with a painless lump rather than pain and swelling. However, any persistent lump or change in the testicle should be evaluated by a healthcare professional.

2. Self-Examination: It’s good to be aware of your body and perform regular self-examinations of your testicles. Look for any changes in size, shape, or consistency, and note any pain or discomfort.

3. When to Seek Help: If the lump persists, if you experience significant pain, or if you notice any other concerning symptoms (like fever or discharge), it’s important to see a doctor. They can perform a physical examination and may order an ultrasound or other tests to determine the cause of your symptoms.

4. Treatment: If diagnosed with epididymitis, treatment usually involves antibiotics if an infection is present. Pain relief medications may also be recommended. It's crucial to follow your doctor's advice and complete any prescribed treatment.

5. Prevention: Practicing safe hygiene and safe sexual practices (when applicable) can help prevent infections that lead to epididymitis.

Conclusion
While your symptoms may be concerning, they are not uncommon in adolescents and can often be treated effectively. It’s essential to communicate openly with a parent or guardian about your symptoms and seek medical attention for a proper diagnosis and treatment plan. Remember, early intervention is key to managing any health issue effectively.

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