Hard Lumps Near the Left Testicle: Causes and Concerns - Urology

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Recently, I have felt a hard lump next to my left testicle?


As mentioned, there is tenderness, and until this morning, there were no issues; it just occurred recently.
I work as a convenience store clerk at 7-Eleven, and I'm not sure if this is related.

Lgh, 10~19 year old female. Ask Date: 2024/02/25

Dr. Du Shixi reply Urology


Hello: If you experience persistent pain and tenderness, please seek medical attention.
Drink plenty of water, and if you've been standing for a long time, take a few minutes to sit down.
Practice safe behaviors and also monitor for any other symptoms such as discomfort during urination, fever, frequent urination, or cloudy urine.
Wishing you good health.

Reply Date: 2024/02/25

More Info


When it comes to understanding hard lumps near the left testicle, it is essential to consider various potential causes and concerns. The presence of a hard lump, especially if it is accompanied by tenderness or pain, can be indicative of several medical conditions that warrant further investigation.

One of the most common causes of a hard lump in the testicular area is a condition known as a hydrocele, which is a fluid-filled sac surrounding the testicle. While hydroceles are usually painless, they can sometimes cause discomfort. Another possibility is a spermatocele, which is a cyst that forms in the epididymis (the tube that carries sperm) and can feel like a lump. These cysts are generally benign and do not require treatment unless they cause significant discomfort.

However, more serious conditions must also be considered. Testicular torsion, which occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle, is a medical emergency that requires immediate attention. Symptoms include sudden, severe pain and swelling in the affected testicle. If you experience this, seek medical help right away.

Another concern is epididymitis, an inflammation of the epididymis often caused by infection. This condition can lead to pain and swelling and may be accompanied by fever or discharge. If the lump is painful and associated with urinary symptoms, this could indicate an infection that needs treatment.

In some cases, a lump may be a sign of testicular cancer, particularly if it is hard, painless, and has developed recently. Testicular cancer is most common in younger men, and early detection is crucial for successful treatment. If you notice any changes in the size or shape of your testicles, or if you experience persistent pain, it is important to consult a healthcare professional for a thorough evaluation.

Given your occupation as a service worker, it is also worth considering whether any physical activities or movements associated with your job may have contributed to the development of this lump. Strenuous lifting or repetitive motions can sometimes lead to conditions like hernias, which may present as lumps in the groin or testicular area.

In summary, while there are several benign causes for a hard lump near the left testicle, it is essential to rule out more serious conditions. If you are experiencing tenderness or any other concerning symptoms, it is advisable to seek medical attention promptly. A healthcare provider can perform a physical examination, and if necessary, order imaging studies or other tests to determine the underlying cause of the lump. Early diagnosis and treatment are key to addressing any potential issues effectively.

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