Testicular Issues: Should You Worry About a Soft Lump? - Urology

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Testicular issues


When I touch my testicles, I feel a small, soft lump that makes me feel dizzy and nauseous when I press on it, similar to pressing on the testicle itself.
Usually, I don't feel anything unusual, and everything seems normal; I just happened to notice it.
Could this be testicular cancer?

nanxing, 20~29 year old female. Ask Date: 2019/06/28

Dr. Xu Wencang reply Urology


You can go for an outpatient examination.

Reply Date: 2019/06/28

More Info


When it comes to testicular health, finding a lump or any unusual change can understandably cause concern. However, it's important to approach this situation with a clear understanding of what might be happening and what steps to take next.

Firstly, it's crucial to recognize that not all lumps in the testicular area are indicative of cancer. Testicular cancer typically presents as a firm, hard lump rather than a soft one. The characteristics of the lump, such as its texture, size, and whether it is painful or painless, can provide important clues. A soft lump that does not cause discomfort most of the time is less likely to be cancerous.
There are several benign conditions that can cause lumps or swelling in the testicular area. One common condition is a hydrocele, which is a fluid-filled sac surrounding a testicle that can cause swelling. Another possibility is a varicocele, which is an enlargement of the veins within the scrotum and can feel like a soft lump. Epididymitis, an inflammation of the epididymis (the tube that stores sperm), can also cause swelling and discomfort.
The sensation of dizziness or nausea when pressing on the lump is concerning and could be a response to discomfort or anxiety rather than a direct indication of a serious issue. However, it is essential to listen to your body. If you experience persistent dizziness, nausea, or any other unusual symptoms, it is advisable to seek medical attention.

Given that you mentioned the lump is not typically felt and that everything else seems normal, it may not be a cause for immediate alarm. However, it is always best to err on the side of caution when it comes to health concerns. I recommend scheduling an appointment with a healthcare provider, preferably a urologist, who can perform a physical examination and possibly an ultrasound to assess the lump further. This will help rule out any serious conditions, including testicular cancer, and provide peace of mind.

In summary, while a soft lump in the testicular area can be concerning, it is not automatically indicative of testicular cancer. Many benign conditions can cause similar symptoms. The best course of action is to consult a healthcare professional who can provide a thorough evaluation and appropriate guidance based on your specific situation. Remember, early detection and intervention are key in managing any health issue effectively.

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