Testicular Size: Concerns About Pain and Cancer Symptoms - Urology

More Info

---

When it comes to concerns about testicular size, pain, and potential cancer symptoms, it's important to approach the situation with a clear understanding of what might be happening. Based on your description, it seems you have been experiencing a larger testicle since middle school, along with occasional pain. Let's address your questions one by one.

1. Is this likely not testicular torsion?
Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms typically include sudden, severe pain in the testicle, swelling, and sometimes nausea or vomiting. Since you mentioned that the pain is occasional and that the size has remained relatively stable over the years, it is less likely that you are experiencing torsion. However, if you ever experience sudden, severe pain, swelling, or changes in color of the testicle, you should seek immediate medical attention.

2. What are the symptoms of testicular cancer?
Testicular cancer can present with various symptoms, and it's crucial to be aware of them. Common symptoms include:
- A lump or swelling in one testicle, which may or may not be painful.

- A feeling of heaviness in the scrotum.

- A dull ache in the lower abdomen or groin.

- Changes in the size or shape of the testicle.

- Pain or discomfort in a testicle or the scrotum.

- Back pain, which may indicate spread to lymph nodes.

It's important to note that not all lumps or enlargements are cancerous; many can be benign conditions such as epididymal cysts, hydroceles, or varicoceles. However, if you notice any changes in size, shape, or if the pain becomes more frequent or severe, it is advisable to consult a healthcare professional for a thorough evaluation.

3. Will it keep growing indefinitely if ignored?
While some benign conditions may not change significantly over time, testicular cancer can progress if left untreated. If the enlargement you are experiencing is due to cancer, it could potentially spread to other parts of the body. Regular self-examinations are crucial for detecting any changes early. If you have concerns about the size or any associated symptoms, it is best to consult a urologist who can perform a physical examination and possibly recommend an ultrasound or other imaging studies to determine the nature of the enlargement.

In conclusion, while your symptoms may not immediately suggest a serious condition, it is essential to remain vigilant. Regular self-examinations and awareness of any changes in your testicles are key. If you have persistent pain or notice any new symptoms, do not hesitate to seek medical advice. Early detection and intervention are vital in managing any potential issues effectively.