a Lump on the Right Testicle: When to Seek Medical Advice

There is a lump on top of the right testicle?

Hello, I recently noticed a round lump on the upper part of my right testicle, near the penis, while taking a shower.
It doesn't hurt when I press it lightly.
Sometimes it disappears while I'm sleeping, but it reappears later.
What could this be? Do I need to see a doctor?

Afa, 20~29 year old female. Ask Date: 2015/08/21

Dr. Xu Weikai reply Urology

Hello, you may need to seek medical attention as it could be a skin tumor.
Usually, these are benign lesions.
If you have any concerns, you can visit a nearby medical facility for relevant tests or further treatment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to visit a medical institution for care.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/21

More Info

When it comes to discovering a lump on the testicle, it is essential to approach the situation with caution and awareness. The presence of a lump, especially in the testicular area, can be concerning and warrants medical evaluation. While it is not uncommon for men to experience various benign conditions, such as cysts or epididymal abnormalities, it is crucial to rule out more serious conditions, including testicular cancer.

In your case, you mentioned that the lump is round, located near the penis, and does not cause pain upon gentle pressure. The fact that it occasionally disappears while you are sleeping but reappears later is also noteworthy. This could suggest that the lump is related to a fluid-filled structure, such as a hydrocele or a spermatocele, which are generally benign. A hydrocele is a collection of fluid around the testicle, while a spermatocele is a cyst that forms in the epididymis, the tube that stores sperm.

However, despite these possibilities, it is essential to consider that any new lump or change in the testicular area should be evaluated by a healthcare professional. Testicular cancer, although relatively rare, is most common in younger men and can present as a painless lump. Early detection is crucial for effective treatment, so it is better to err on the side of caution.

Here are some guidelines on when to seek medical advice regarding a lump on the testicle:
1. Duration: If the lump persists for more than a few weeks, it is advisable to consult a doctor. Even if it is painless, any lasting change should be evaluated.

2. Changes in Size: If the lump increases in size or changes in shape, this is a sign that you should seek medical attention.

3. Associated Symptoms: If you experience any additional symptoms such as swelling, pain, changes in urination, or any unusual discharge, it is essential to see a healthcare provider.

4. Family History: If you have a family history of testicular cancer or other testicular conditions, it is prudent to have any new lumps evaluated promptly.

5. Self-Examination: Regular self-examinations can help you become familiar with the normal size and shape of your testicles, making it easier to notice any changes.

In conclusion, while the lump you described may be benign, it is crucial to have it assessed by a healthcare professional. A doctor will likely perform a physical examination and may recommend an ultrasound to determine the nature of the lump. This imaging test is non-invasive and can provide valuable information about the lump's characteristics. Depending on the findings, further evaluation or treatment may be necessary.

Remember, taking proactive steps regarding your health is always the best approach. If you have any concerns or uncertainties, do not hesitate to reach out to a healthcare provider for guidance. Your health and peace of mind are paramount, and early intervention can make a significant difference in outcomes.

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