Testicular Bumps: Causes, Symptoms, and When to See a Doctor - Urology

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When it comes to testicular bumps, it's important to understand that they can arise from a variety of causes, some benign and others that may require medical attention. The symptoms you describe, including the presence of a round bump near the testicle and associated itching, as well as pain during ejaculation, warrant a thorough evaluation by a healthcare professional.


Possible Causes of Testicular Bumps
1. Epididymal Cysts: These are fluid-filled sacs that develop in the epididymis, the tube that carries sperm from the testicle. They are usually painless and may not require treatment unless they cause discomfort.

2. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins in the legs. It can cause a feeling of heaviness and may be associated with pain, especially after physical activity or prolonged standing.

3. Hydrocele: This is a buildup of fluid around the testicle, which can cause swelling. Hydroceles are generally painless and often resolve on their own.

4. Infections: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can cause swelling and pain. These infections can be due to sexually transmitted infections (STIs) or other bacterial infections.

5. Testicular Tumors: While less common, any new lump in the testicle should be evaluated to rule out testicular cancer. Testicular cancer typically presents as a painless lump, but it can also cause discomfort or pain.

6. Skin Conditions: Conditions such as folliculitis (inflammation of hair follicles) or other dermatological issues can cause bumps on the skin of the scrotum.


Symptoms to Monitor
- Itching: This could indicate a skin condition or infection.

- Pain during ejaculation: This could be related to an infection or inflammation in the reproductive system.

- Changes in size or shape of the bump: Any changes should be reported to a doctor.

- Accompanying symptoms: Fever, swelling, or redness in the scrotal area may indicate an infection.


When to See a Doctor
It is advisable for your boyfriend to see a healthcare provider, especially since he is experiencing pain during ejaculation and has noticed a new bump. A doctor will likely perform a physical examination and may recommend further tests, such as:
- Ultrasound: This imaging test can help determine the nature of the bump (solid or fluid-filled) and assess blood flow to the area.

- Urinalysis: To check for signs of infection or other abnormalities.

- STI Testing: If an infection is suspected, testing for sexually transmitted infections may be warranted.


Examination Process
Regarding your question about whether an internal examination is necessary, it depends on the findings during the physical exam. A healthcare provider may perform a genital examination to assess the bump and any associated symptoms. In many cases, an internal examination is not required unless there are specific concerns that warrant it.


Conclusion
In summary, while there are several potential causes for the bump your boyfriend is experiencing, it is crucial to seek medical advice to ensure proper diagnosis and treatment. Early evaluation can help address any underlying issues and provide peace of mind. Encourage him to make an appointment with a urologist or primary care physician to discuss his symptoms and undergo a thorough examination.