A hard mass found within the testicle?
Hello, doctor! About a year and a half ago, I discovered a small hard lump at the bottom of my right testicle (it feels round and is approximately 0.5 cm in diameter).
It is usually not painful, and there is no specific pain when pressed! However, there are occasional brief moments of sharp pain (which do not happen often), especially after sexual activity.
After I found it, I went to the hospital for an ultrasound examination, and the doctor said that the lump was too small to determine what the issue was and advised me to wait for some time to see if there were any changes before undergoing further examination.
Now, more than a year later, I can still feel the lump, but it has not increased in size, and there is still no specific pain when pressed.
The brief sharp pain symptoms have not become more frequent either.
I would like to ask what symptoms this might indicate! Could it be testicular cancer? Should I go back to the hospital for a more detailed examination? If so, what specific tests should I discuss with the urologist?
Mr. X, 20~29 year old female. Ask Date: 2015/09/10
Dr. Xu Weikai reply Urology
Mr.
X: Hello, you can redo the ultrasound to see if there are any changes.
If you are still concerned, you can have blood tests for testicular cancer markers.
If you are still uneasy, then a biopsy can be performed for a definitive diagnosis.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only serve as a reference; if necessary, it is important to seek medical care at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.
Reply Date: 2015/09/10
More Info
When it comes to testicular lumps, it is essential to approach the situation with caution and a thorough understanding of the potential implications. Based on your description, you have a small, hard lump at the base of your right testicle that has been present for about a year and a half. It is reassuring that the lump has not increased in size and that you do not experience significant pain associated with it. However, the occasional sharp pain, particularly after sexual activity, is worth noting.
Understanding Testicular Lumps
1. Common Causes: Testicular lumps can arise from various causes, including benign conditions such as epididymal cysts, spermatoceles, or varicoceles. These conditions are generally not harmful and may not require treatment unless they cause discomfort or other issues. However, testicular cancer is also a possibility, especially if there are changes in size, shape, or associated symptoms.
2. Symptoms to Monitor: While the absence of pain and the stability of the lump are positive signs, it is crucial to monitor for any changes. Symptoms that may warrant further investigation include:
- Increase in size of the lump
- Persistent pain or discomfort
- Changes in the texture of the lump
- Swelling of the testicle or scrotum
- Any unusual discharge or changes in the skin over the testicle
3. Importance of Follow-Up: Given that you have already had an ultrasound that did not provide conclusive results, it may be prudent to follow up with a healthcare provider, particularly a urologist, who specializes in male reproductive health. They may recommend additional imaging studies, such as a more detailed ultrasound or even an MRI, to better characterize the lump.
Next Steps
1. Consult a Urologist: It is advisable to schedule an appointment with a urologist. During this visit, you should discuss your symptoms in detail, including the duration of the lump, any changes you've noticed, and the nature of the occasional pain.
2. Possible Tests: Be prepared for the possibility of further tests. The urologist may suggest:
- Repeat Ultrasound: To assess any changes in the lump's characteristics.
- Blood Tests: These may include tumor markers specific to testicular cancer, such as alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG).
- Physical Examination: A thorough examination of the testicles and surrounding areas to check for any additional abnormalities.
3. Discuss Concerns: It is essential to express your concerns about testicular cancer during your appointment. The urologist can provide information on the likelihood of cancer based on your symptoms and examination findings.
Conclusion
While the presence of a small, stable lump in the testicle is often benign, it is crucial to remain vigilant and proactive about your health. Regular follow-ups and open communication with your healthcare provider are key to ensuring that any potential issues are addressed promptly. If you notice any changes or new symptoms, do not hesitate to seek medical advice. Early detection and intervention are vital in managing any health concerns effectively.
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