Testicular Symptoms: Is It Cancer or Something Else? - Urology

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What are these symptoms?


I am currently 14 years old.
I have noticed that the left testicle has visible veins and sometimes hurts (the left testicle hurts in the body, while the right side has a sharp pain near the top).
Additionally, both testicles often hang low (but when I get scared or soak in cold water, they retract).
The left testicle hangs lower than the right one.
Could this be testicular cancer? Please help.

PO Nan, 10~19 year old female. Ask Date: 2010/07/15

Dr. Xu Weikai reply Urology


Hello, you can visit the art museum, where you will notice that in all the depictions of nude males, the left testicle is typically lower.
Note: In most men, the left testicle tends to hang lower.
Regarding pain, it is important to be cautious as it may indicate conditions such as testicular torsion during puberty or varicocele.
It is advisable to undergo further examination.
If you have any additional questions or need clarification, feel free to ask, and we can discuss and research further.
This message is from the Department of Urology, Director Xu Weikai, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2010/07/15

More Info


When it comes to understanding testicular symptoms, particularly in a young male like yourself, it's essential to approach the situation with both caution and awareness. Testicular cancer is relatively rare, especially in someone who is only 14 years old, but it is still important to be vigilant about any changes or discomfort in the testicular area.

Firstly, the presence of blue veins (which may be varicose veins) and occasional pain in the testicles can be attributed to various benign conditions. For instance, conditions such as epididymitis (inflammation of the epididymis), orchitis (inflammation of the testicle), or even a hydrocele (fluid accumulation around the testicle) can cause discomfort and changes in the appearance of the testicles. These conditions are often not serious and can be treated effectively.

The fact that you are experiencing pain specifically in the left testicle, along with the observation that the left testicle hangs lower than the right, is not uncommon. It is normal for one testicle to be positioned lower than the other, and this asymmetry is typically not a cause for concern. However, if the pain is persistent, worsening, or accompanied by other symptoms such as swelling, lumps, or changes in the skin of the scrotum, it is crucial to seek medical attention.

Testicular cancer often presents as a painless lump or swelling in the testicle, but it can also cause discomfort. If you notice any hard lumps or if the pain continues, it would be wise to consult a healthcare professional. They may perform a physical examination and possibly an ultrasound to assess the condition of your testicles. An ultrasound is a non-invasive imaging technique that can help differentiate between solid masses (which could be cancerous) and fluid-filled cysts (which are usually benign).

In addition to physical examination and imaging, blood tests may also be conducted to check for tumor markers that can indicate the presence of testicular cancer. These markers include substances like alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG), which can be elevated in certain types of testicular tumors.

It’s important to remember that while testicular cancer can occur, especially in young males aged 15 to 35, the majority of testicular issues are not cancerous. Conditions like torsion (twisting of the testicle), trauma, or infections are more common causes of pain and discomfort in this area.

In summary, while your symptoms warrant attention, they do not automatically indicate testicular cancer. It is crucial to monitor your symptoms and consult a healthcare provider for a thorough evaluation. Early detection and treatment of any potential issues are key to maintaining reproductive health and overall well-being. If you have any concerns, do not hesitate to reach out to a medical professional who can provide you with the appropriate guidance and care.

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