Testicular Issues: What to Know About Soft Lumps - Urology

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Testicular issues


In the past few days, while examining my testicles, I noticed a soft, bean-sized lump in the lower right part of my right testicle.
It doesn't hurt.
I would like to know if this could be an epididymis.
Would it be appropriate to visit a nearby family medicine clinic? Thank you.

wei, 10~19 year old female. Ask Date: 2022/04/14

Dr. Du Shixi reply Urology


Hello: It is best to consult the urology department at a hospital.
Wishing you good health.

Reply Date: 2022/04/14

More Info


When it comes to testicular health, discovering a soft lump in the testicle can understandably cause concern. Based on your description of a soft, bean-sized lump located in the lower right area of your right testicle, it is important to consider a few possibilities, including the epididymis, which is a coiled tube located at the back of each testicle that stores and matures sperm.
The epididymis can sometimes feel like a soft lump, especially if it is swollen or if there is a cyst present. Epididymal cysts, also known as spermatocele, are generally benign and are filled with fluid. They are usually painless and do not require treatment unless they cause discomfort or grow significantly in size.

Another possibility is a varicocele, which is an enlargement of the veins within the scrotum. Varicoceles are often described as feeling like a "bag of worms" and can sometimes be mistaken for lumps. They are usually asymptomatic but can sometimes lead to discomfort or fertility issues.

It is also important to rule out other conditions such as testicular torsion, which is a medical emergency, or tumors, which can present as lumps in the testicle. However, tumors are typically firm rather than soft and may be associated with other symptoms such as pain or changes in size.

Given that the lump you described is soft and not painful, it is less likely to be a serious condition, but it is still essential to have it evaluated by a healthcare professional. Visiting a family medicine clinic is a suitable first step. The physician can perform a physical examination and may recommend an ultrasound to get a clearer picture of what the lump is. This imaging test is non-invasive and can help differentiate between various types of lumps, such as cysts, varicoceles, or other abnormalities.

In summary, while the presence of a soft lump in the testicle can be concerning, many causes are benign. It is crucial to seek medical advice to ensure proper diagnosis and management. Early evaluation can provide peace of mind and help address any underlying issues if necessary. Remember, maintaining regular check-ups and being aware of changes in your body is key to good health. If you notice any changes in size, shape, or if you experience pain, swelling, or other symptoms, do not hesitate to seek medical attention promptly.

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