Testicular Concerns: Insights on Health and Treatment - Urology

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Testicular issues


Hello Doctor, a few days ago I inquired about a lump I felt on the upper left side of my left testicle, near the left epididymis.
I later noticed that this lump seems to be connected to a structure in the scrotum (the vas deferens?), extending upwards from the testicle.
Should I be concerned about this? Today, during my follow-up for prostatitis, the doctor performed a digital rectal exam.
Initially, he couldn't find anything, but later he seemed to feel something and advised me to just monitor it (I'm not sure if it was the same lump I felt, a different one, or if he didn't find anything at all, but my testicular condition should be healthy, right?).
Currently, I'm entering the fourth week of my antibiotic treatment for prostatitis.
After the ultrasound and examining the color of my semen, it seems a bit swollen.
The doctor mentioned that this treatment should last at least two to three months.
Is this normal? I'm concerned because school starts in mid-September, and I'm worried I won't be better in time.
Also, is it true that I shouldn't stay up late with prostatitis? I apologize for asking so many questions, thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2021/07/28

Dr. Li Xinyi reply Urology


Prostatitis can be managed by incorporating zinc-rich foods into the diet, such as pumpkin seeds (oil), certain seafood, cooked tomatoes, shiitake mushrooms, and broccoli, which are beneficial for the prostate.
It is important to avoid staying up late, excessive exercise, overeating, and alcohol consumption, while maintaining overall health and ensuring adequate sleep.
Prostatitis can be particularly troublesome and difficult to treat.
For matters related to hospital treatment and examinations, it is best to discuss them with the original physician.

Reply Date: 2021/07/28

More Info


When it comes to testicular concerns, it's important to approach the situation with a clear understanding of the anatomy and potential health issues involved. Based on your description, it sounds like you have noticed a lump or mass near your left testicle, which you believe may be connected to the epididymis or the vas deferens. This is a common area for various conditions, and while it can be concerning, not all lumps or masses in this region indicate a serious problem.

The epididymis is a coiled tube located at the back of each testicle that stores and matures sperm. It's normal for men to feel some structures in this area, and sometimes, what feels like a lump could be a normal anatomical feature or a benign condition such as a spermatocele (a fluid-filled cyst) or an epididymal cyst. These are typically harmless and do not require treatment unless they cause discomfort.

Your doctor’s recommendation to observe the lump is a common approach, especially if there are no accompanying symptoms such as pain, swelling, or changes in urination. However, if you notice any changes in size, shape, or if you develop pain, it’s crucial to follow up with your healthcare provider.

Regarding your ongoing treatment for prostatitis (inflammation of the prostate), it is not uncommon for treatment to require several weeks to months, especially if you are on antibiotics. Chronic prostatitis can be a challenging condition to manage, and the duration of treatment can vary based on the severity of the infection and the response to antibiotics. It’s essential to follow your doctor’s instructions and complete the full course of antibiotics, even if you start to feel better before finishing the medication. Stopping antibiotics prematurely can lead to a recurrence of the infection.

As for your concerns about lifestyle factors such as sleep, it is generally advisable to maintain a healthy lifestyle while undergoing treatment for prostatitis. Lack of sleep and stress can exacerbate symptoms, so it’s beneficial to prioritize good sleep hygiene, manage stress, and avoid irritants such as caffeine and alcohol, which can worsen urinary symptoms.

In terms of your question about whether prostatitis can be affected by staying up late, it’s important to note that while there is no direct correlation, poor sleep can impact your immune system and overall health, potentially prolonging recovery. Therefore, it would be wise to establish a regular sleep schedule and avoid late nights, especially as you prepare for the upcoming school term.

If you have any further concerns or if your symptoms change, don’t hesitate to reach out to your healthcare provider for more personalized advice. They can provide reassurance and guidance based on your specific situation. Remember, being proactive about your health is key, and it’s always better to ask questions and seek clarification when it comes to your well-being.

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