Testicular Issues: Varicocele, Pain, and Cancer Concerns - Urology

Share to:

Testicular issues


Hello, doctor.
A few days ago while showering, I noticed that my left testicle is hanging lower than the right one.
I also felt something like twisted blood vessels forming a ball beneath the left testicle, and within that ball, I can feel an oval object.
After researching online, I found that most cases like this are related to varicocele.
However, over the past few days, I have been feeling a dull pain (not coming from the testicle but from the area of the mass), possibly due to sensitivity or anxiety.
Could the mass potentially develop into a tumor? I am very concerned that this might be a symptom of testicular cancer, and I don't want to worry my family.

Xiao Mi, 20~29 year old female. Ask Date: 2012/04/29

Dr. Xu Weikai reply Urology


Hello, Xiaomi: It is difficult to make a judgment, so I recommend seeking medical attention as soon as possible for an examination.
An ultrasound can be performed to determine if there is a tumor.
If you have any further questions, feel free to ask again, and we can discuss and research together.
Responses from the internet should only be taken as references; it is essential to visit a medical facility for proper care.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.
We care about you.

Reply Date: 2012/04/29

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your testicular health. It’s understandable to feel anxious when you notice changes in your body, especially in such a sensitive area. Let’s break down your symptoms and address your worries about varicocele, pain, and the potential for cancer.

From your description, it sounds like you may be experiencing a condition known as a varicocele. A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. This condition is quite common and can affect about 15% of men. It typically occurs on the left side due to the anatomy of the venous drainage in that area. The symptoms you describe, including the feeling of a "ball" or mass and the sensitivity or dull pain, are consistent with varicocele.
While varicoceles are generally benign, they can sometimes lead to discomfort and may affect fertility. The pain you are feeling could be related to the varicocele itself, especially if it has become more pronounced or if there is increased blood flow to the area. It’s important to note that while varicoceles are not cancerous, they can sometimes be mistaken for other conditions, including tumors.

Regarding your concern about tumors, it is essential to differentiate between the symptoms of a varicocele and those of testicular cancer. Testicular cancer typically presents as a lump or swelling in the testicle itself, rather than in the surrounding tissue. The lump is usually firm and does not typically cause pain, especially in the early stages. However, if you are feeling a distinct mass or if there are changes in the texture or size of your testicle, it is crucial to seek medical evaluation.

The best course of action would be to schedule an appointment with a healthcare provider, preferably a urologist, who specializes in male reproductive health. They can perform a physical examination and may recommend an ultrasound of the scrotum to assess the blood vessels and any masses present. An ultrasound is a non-invasive imaging technique that can provide valuable information about the structure of your testicles and surrounding tissues.

In summary, while your symptoms may suggest a varicocele, it is essential to rule out other potential issues, including tumors. Early evaluation and diagnosis are key to addressing any concerns you may have. Remember, it’s always better to seek medical advice sooner rather than later, especially when it comes to changes in your health.
Please don’t hesitate to reach out if you have further questions or need assistance in finding a healthcare provider. Your health and peace of mind are important, and addressing these concerns promptly is the best way to ensure your well-being.

Best regards,
Doctor Q&A Teams

Similar Q&A

Understanding Varicocele: Concerns and Treatment Options for Young Men

Hello Doctor, I am 23 years old. In the second half of last year, I experienced discomfort in my left testicle and consulted a doctor. The doctor diagnosed me with varicocele after a physical examination and conducted a semen analysis, which showed a low volume of about 50 millio...


Dr. Du Shixi reply Urology
Hello: If the doctor has examined and confirmed that there is no cancer, there is no need to worry. Stage 3-4 is considered more severe, and one issue with surgery is the possibility of recurrence of varicocele (and the chance is not small), so it is better to focus on lifestyle ...

[Read More] Understanding Varicocele: Concerns and Treatment Options for Young Men


Understanding Testicular Pain: Causes, Concerns, and Treatment Options

Hello doctor, during my last intimate encounter with my girlfriend, I experienced pain in my lower abdomen and testicles after an erection. Initially, it was tolerable, but the pain intensified, making it uncomfortable to stand or walk. It took about an hour for the pain to subsi...


Dr. Xu Weikai reply Urology
A-Zhe: Hello, based on your description, it is difficult to make a judgment. I recommend seeking medical attention as soon as possible. Delaying too long may affect fertility. As for whether it is a varicocele, a diagnosis in an outpatient setting is necessary. Other questions ar...

[Read More] Understanding Testicular Pain: Causes, Concerns, and Treatment Options


Understanding Testicular Pain: Epididymitis or Testicular Cancer?

Hello Doctor, at the beginning of this year, I felt a dull pain in the area of blood vessels in my left testicle, so I went to a urology clinic in Taipei. The doctor there only did a brief examination and diagnosed me with a varicocele, prescribing painkillers without further inv...


Dr. Du Shixi reply Urology
Hello: Based on what you said, the conclusion is that there is a tumor in the left testicle, and it needs to be distinguished as benign or malignant. The physician will likely arrange for further examinations. National Taiwan University Hospital has extensive experience and will ...

[Read More] Understanding Testicular Pain: Epididymitis or Testicular Cancer?


Understanding Testicular Issues: Concerns About Cryptorchidism and Pain

Hello Doctor: From my memory, since childhood, it seems that I only have one testicle, which is similar to cryptorchidism. Since I didn't feel anything unusual, I didn't think much about it until 2 or 3 years ago when my girlfriend also found it strange. Since it was di...


Dr. Lin Hexing reply Urology
Hello Amin: The main issue you are concerned about is the suspicion of cryptorchidism. I am not sure if the small urology clinic you visited is truly staffed by a board-certified urologist. If they have assured you that there is no issue with cryptorchidism and you still have dou...

[Read More] Understanding Testicular Issues: Concerns About Cryptorchidism and Pain


Related FAQ

Varicocele

(Urology)

Testicles

(Urology)

Hematospermia

(Urology)

Cryptorchidism

(Urology)

Tumor

(Urology)

Testosterone

(Urology)

Erectile Dysfunction

(Urology)

Testicle

(Surgery)

Balanitis

(Urology)

Post-Vasectomy

(Urology)