Persistent Movement of Left Testicle: Should You Be Concerned? - Urology

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The left testicle is constantly moving?


Hello, doctor.
I have a question.
My left testicle has been moving all day, but it doesn't hurt.
It feels strange; when I lie down, I feel a tingling sensation in the testicle, and when I sit, I don't feel anything.
When I stand and look, sometimes it appears normal, and sometimes it lies horizontally.
Today is the first day.
I would like to know if this is serious enough to require surgery?

Jia Wei, 20~29 year old female. Ask Date: 2018/08/04

Dr. Chen Jiansheng reply Urology


Unable to answer, please seek medical examination.

Reply Date: 2018/08/04

More Info


When it comes to the persistent movement of the left testicle, it is understandable to feel concerned, especially if this is a new experience for you. The sensation of movement or unusual feelings in the testicles can be attributed to several factors, and while some may be benign, others may require medical attention.

Firstly, it is important to note that the testicles are not fixed in place; they are suspended in the scrotum and can move due to various reasons. The movement can be influenced by the cremaster muscle, which contracts and relaxes in response to temperature changes or physical activity. This is a normal physiological response and can sometimes cause a sensation of movement.

However, if you are experiencing persistent movement that is unusual for you, it is essential to consider other potential causes. Here are a few possibilities:
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can cause discomfort and a feeling of heaviness or movement in the testicle. This condition is often accompanied by pain, swelling, or redness.

2. Varicocele: This is a condition where the veins within the scrotum become enlarged. It can lead to a feeling of heaviness or movement in the testicle and is often described as feeling like a "bag of worms." Varicoceles are generally benign but can sometimes affect fertility.

3. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. It usually presents with severe pain and swelling, but in some cases, it may start with unusual sensations. If you experience sudden, severe pain, nausea, or vomiting, seek immediate medical attention.

4. Hernia: An inguinal hernia occurs when tissue protrudes through a weak spot in the abdominal muscles. This can cause a bulge in the groin or scrotum and may lead to sensations of movement or discomfort.

5. Testicular tumors: While less common, tumors can cause changes in the testicle's size, shape, or movement. If there are any changes in the texture or if you feel a lump, it is crucial to get it evaluated.

Given that you mentioned the movement is not accompanied by pain, it may not be an immediate cause for alarm. However, it is essential to monitor the situation closely. If the sensation persists, worsens, or if you develop any additional symptoms such as pain, swelling, or changes in the appearance of the testicle, it is advisable to seek medical evaluation.

A healthcare provider, particularly a urologist, can perform a physical examination and may recommend an ultrasound to assess the testicle's condition. This imaging can help rule out any serious issues such as torsion or tumors.

In conclusion, while the sensation of movement in the left testicle may not be an immediate cause for concern, it is essential to remain vigilant. If you have any doubts or if the situation changes, do not hesitate to consult a medical professional for a thorough evaluation. Early diagnosis and treatment can prevent potential complications and ensure your overall health and well-being.

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