Testicular Lumps: When to Seek Further Medical Advice

The testicular lump has not resolved?

Hello, doctor.
I apologize for bothering you during your busy schedule, but I have been quite troubled and need your clarification.
I visited the doctor on Monday for epididymitis, and the physician prescribed medication for me and asked me to return for a follow-up next Monday.
Today is Friday, and I have been taking the medication for almost a week, but the hard lump on my testicle does not seem to have decreased; in fact, it seems to have gotten a bit larger.
Is this normal? Could it be that the doctor prescribed the wrong antibiotic? I am worried that when I go back next week, he will just prescribe more medication without further evaluation, and I am uncertain when I will recover.
I hope you can provide me with some advice.
The hard lump on my left testicle is about 0.5 cm and is not painful, and the testicle itself is not swollen.
How long might it take for these symptoms to resolve? Does an increase in the size of the lump indicate that it is not healing? How long might it take for the lump to disappear? If there is no improvement, what should I do? Thank you very much, doctor.
I truly appreciate your help.

hai shi wo, 20~29 year old female. Ask Date: 2005/07/29

Dr. Xu Weikai reply Urology

Hello, regarding epididymitis, the treatment duration typically ranges from 6 to 12 weeks, depending on the type of bacteria and the response to medication.
Generally, epididymitis can cause significant swelling, sometimes even larger than the original testicle.
If you mention that it is only 0.5 cm in size, it may just be a spermatocele or other conditions, and an ultrasound of the scrotum is necessary for a definitive diagnosis.
If it is a spermatocele, medication is not required, and taking medication will not help.
Usually, it is left untreated, although some individuals may consider a minor surgical procedure for removal.
This is a response from Dr.
Hsu Wei-Kai, Chief of Urology, to the Taitung Hospital of the Ministry of Health and Welfare, expressing concern for you.

Reply Date: 2005/07/29

More Info

When it comes to testicular lumps, particularly in the context of a diagnosis like epididymitis, it's essential to approach the situation with both caution and awareness. Your concerns about the lump on your testicle, especially since it appears to be growing rather than shrinking, are valid and warrant further discussion.

Epididymitis is an inflammation of the epididymis, often caused by infections, and it can lead to the formation of lumps or swelling in the testicular area. The treatment typically involves antibiotics, especially if a bacterial infection is suspected. However, the effectiveness of the treatment can depend on the type of bacteria involved and the appropriateness of the prescribed antibiotic. If the lump has not decreased in size after a week of treatment and seems to be increasing, it raises a few important considerations.

Firstly, it is crucial to follow up with your healthcare provider as scheduled. If you feel that the current treatment is not effective, you should communicate this clearly during your next visit. It’s possible that the initial antibiotic may not be the right choice for the specific bacteria causing your condition, or there may be another underlying issue that needs to be addressed.
In terms of the timeline for recovery, it can vary significantly based on the underlying cause of the lump. In cases of simple epididymitis, symptoms may improve within a few days to weeks with appropriate treatment. However, if the lump persists or worsens, it may indicate a more complex issue, such as a different type of infection, a cyst, or even a tumor.
If the lump continues to grow or if you experience new symptoms such as increased pain, fever, or changes in urination, it is crucial to seek immediate medical attention. Your doctor may recommend further diagnostic tests, such as an ultrasound, to evaluate the nature of the lump more thoroughly. This imaging can help distinguish between benign conditions, like cysts or infections, and more serious concerns, such as tumors.

In summary, while it is not uncommon for testicular lumps to take some time to resolve, significant changes in size or new symptoms should prompt further evaluation. Do not hesitate to advocate for your health; if you feel that your concerns are not being adequately addressed, seeking a second opinion or requesting additional tests is entirely appropriate. Your health and peace of mind are paramount, and it’s essential to ensure that you receive the most effective care possible.

Similar Q&A

Concerns About Testicular Issues: When to Seek Further Medical Advice

Hello Doctor, about six months ago, I discovered a small, rice-sized lump above my left testicle (below the epididymis). I visited a nearby hospital and saw a urologist who examined it and said it was nothing to worry about (suggesting it might be a spermatocele), but he did not ...

Dr. Du Shixi reply Urology
Hello: You should consult the urology department of the hospital, but most cases are related to fluid accumulation. Wishing you good health.

Understanding Testicular Concerns: When to Seek Medical Advice

Dear Dr. Hsu, I consulted you on the 25th of this month, but I still have a few concerns. 1. I have noticed a small lump above my right testicle (on the inner side near the left testicle, in an area that is usually covered when the penis is hanging down). If it does not grow o...

Dr. Xu Weikai reply Urology
Hello, it is possible that you have a lesion on the scrotal epidermis. You can palpate it to see if it is connected to the testicle; if it is connected, it may be a testicular tumor. It is difficult to determine whether this is the cause of hematospermia. If you have any further ...

Understanding Testicular Lumps: When to Seek Medical Advice

Hello, doctor! I have a question that has been troubling me. I have health anxiety, so I tend to be sensitive to changes in my body. Recently, while taking a shower, I noticed an oval-shaped hard lump below my right testicle (there seems to be a smaller one on the left side as we...

Dr. Du Shixi reply Urology
Hello: If you are certain that you have felt something, it is recommended to visit a urology department at a hospital. Of course, testicular cancer is not common, so there is no need to worry too much. Wishing you good health.

Understanding Testicular Lumps: When to Seek Medical Advice

Hello, I noticed a lump at the bottom of my testicles during a self-examination over the past few days, and both testicles have it. I usually perform self-examinations. Is this something normal, or should I seek a detailed examination?

Dr. Li Xinyi reply Urology
It is recommended to see a urologist for an examination.