Testicular Discomfort: When to See a Urologist - Urology

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The right testicle feels abnormal?


Hello Doctor, I have been feeling something unusual with my right testicle; it feels somewhat sore and uncomfortable.
When I touch it, I can't pinpoint the exact sore spot, but occasionally when I press on it, it seems like I can feel something.
I usually don't masturbate excessively, about once every two weeks.
In June, I had a physical examination by a urologist, and at that time, my scrotum was retracted, but the doctor said everything felt normal.
He mentioned that occasional discomfort could be due to growth spurts or nerve pain, but I did not have an ultrasound.
The soreness in my testicle comes and goes, lasting only a few seconds.
I am not very experienced in examining my testicles, so I would like to ask if testicular cancer causes the testicle to feel as hard as a rock, or if it just becomes firm, should I seek medical attention? Also, I am unsure if I should see a urologist.
Thank you for your response.

Niming, 20~29 year old female. Ask Date: 2018/10/12

Dr. Du Shixi reply Urology


Hello: Testicular cancer is often suspected only when a hard lump is felt; pain is usually related to other issues.
It's important to avoid prolonged sitting or standing.
It's normal for the testicles to move up and down with temperature changes, but this may not be very noticeable for everyone.
Wishing you good health.

Reply Date: 2018/10/12

More Info


Testicular discomfort can be concerning, and it's important to understand the potential causes and when to seek medical attention. Based on your description, you are experiencing a sensation of discomfort in your right testicle, which is intermittent and sometimes accompanied by a feeling of pressure or heaviness. You mentioned that you have previously seen a urologist who performed a physical examination and found no immediate issues, but you still have lingering concerns.

Firstly, it's essential to recognize that testicular discomfort can arise from various conditions, some of which are benign while others may require more urgent evaluation. Common causes of testicular discomfort include:
1. Epididymitis: This is an inflammation of the epididymis, often caused by infection. Symptoms can include pain, swelling, and discomfort in the testicle.

2. Orchitis: This is inflammation of the testicle itself, which can also be due to infection or viral causes.

3. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort.

4. Hernia: An inguinal hernia can cause discomfort in the groin and testicular area.

5. Testicular torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden severe pain and swelling.

6. Testicular cancer: While less common, testicular cancer can present as a lump or swelling in the testicle, and it may feel firm or hard.

Regarding your specific questions about testicular cancer, it is important to note that while a hard or firm testicle can be a sign of cancer, not all testicular tumors present this way. Some may feel like a mass or lump, while others may not be easily palpable. The key is to monitor for any changes in size, shape, or consistency of the testicle.

Given that your discomfort is intermittent and you have had a prior examination without significant findings, it may not be an immediate cause for alarm. However, if you notice any of the following symptoms, you should seek medical attention promptly:
- Persistent or worsening pain
- Swelling or a noticeable lump in the testicle
- Changes in the appearance of the testicle
- Accompanying symptoms such as fever, nausea, or vomiting
Since you have already seen a urologist, it may be beneficial to schedule a follow-up appointment, especially if your symptoms persist or worsen. A urologist can perform a more thorough evaluation, which may include imaging studies like an ultrasound to rule out any underlying issues that may not have been apparent during the physical examination.

In conclusion, while your symptoms may not indicate a serious condition, it is always better to err on the side of caution when it comes to testicular health. Regular self-examinations can help you become familiar with your anatomy, making it easier to detect any changes. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for further evaluation and peace of mind. Your health is paramount, and addressing any discomfort early can lead to better outcomes.

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