Testicular Lumps: What Teens Should Know About Health Risks - Urology

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There is a hard lump in the testicle?


Hello doctor, I recently discovered a hard lump on the left side of my right testicle that moves when pressed.
When I press it, I feel pain in my lower back and bladder.
I was sitting at the computer when I started feeling pain around my bladder.
I went to check my testicles and found the hard lump.
I'm worried that it might be testicular cancer...
I'm in the second year of junior high and I'm 13 years old.

Luo Xiangyu, 10~19 year old female. Ask Date: 2016/10/11

Dr. Sun Hongshun reply Urology


Hello, it is possible that the issue is related to the veins near the epididymis or testis.
The likelihood of testicular cancer is low.
Please consult a urologist for further evaluation.
Wishing you good health.

Reply Date: 2016/10/11

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the lump you have discovered on your right testicle. It is completely understandable to feel anxious about any changes in your body, especially at your age. Let’s break down what you need to know about testicular lumps and the potential health risks associated with them.

Firstly, it’s important to recognize that not all lumps in the testicles are indicative of cancer. In fact, many testicular lumps are benign (non-cancerous) and can be caused by a variety of conditions. Some common causes of testicular lumps include:
1. Epididymal Cysts: These are fluid-filled sacs that can develop in the epididymis, the tube that carries sperm from the testicle. They are usually painless and do not require treatment unless they cause discomfort.

2. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It can sometimes cause a feeling of heaviness or discomfort in the scrotum.

3. Hydrocele: This is a buildup of fluid around the testicle, which can cause swelling. Hydroceles are usually painless and often resolve on their own.

4. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause a lump in the groin or scrotum and may be associated with discomfort.

5. Testicular Cancer: While it is less common, testicular cancer can present as a lump or swelling in the testicle. It is most often found in younger males, typically between the ages of 15 and 35. Early detection is crucial for successful treatment.

Given that you are experiencing pain in your lower back and bladder area along with the lump, it is essential to consult a healthcare professional as soon as possible. They will likely perform a physical examination and may order an ultrasound of the testicles to determine the nature of the lump. An ultrasound is a non-invasive imaging test that can provide valuable information about the lump's characteristics, helping to distinguish between benign and malignant conditions.

It is also important to note that testicular cancer, when detected early, has a high cure rate. Therefore, if there is any suspicion of cancer, timely evaluation and treatment are critical.
In the meantime, try to avoid any activities that may exacerbate the pain, and keep track of any other symptoms you may experience, such as changes in urination, swelling, or any other unusual sensations.
Lastly, remember that discussing these concerns with a trusted adult, such as a parent or guardian, can provide you with additional support. They can help you navigate the process of seeking medical attention and ensure that you receive the care you need.

In conclusion, while it is natural to worry about a lump in the testicle, many causes are benign. However, due to the potential seriousness of testicular cancer, it is crucial to seek medical evaluation promptly. Your health is important, and addressing these concerns early can lead to better outcomes.

Take care, and I wish you the best in your health journey.

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