a Movable Lump Above the Right Testicle: What You Need to Know - Urology

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Right testicle


Hello Doctor: I am 19 years old.
Ten days ago, while I was taking a shower, I felt something soft and movable, about 1.5mm in diameter, attached above my right testicle.
I am unsure if this is a cause for concern.
Could you please provide some guidance? Thank you.

Youxin Nan, 10~19 year old female. Ask Date: 2002/07/09

Dr. Huang Chikai reply Urology


Dear Concerned Male,
What you have noticed is likely the epididymis.
Since you did not mention any symptoms, it should not be a major issue.
However, I still recommend that you visit a urology clinic for a thorough examination by a specialist.
Wishing you good health!
Dr.
Huang Chih-Kai
July 16, 2002

Reply Date: 2002/07/09

More Info


When it comes to discovering a movable lump above the right testicle, it is essential to approach the situation with caution and a clear understanding of what this could mean. Given your age and the description of the lump, there are several possibilities to consider.

Firstly, it is important to note that the scrotum and testicles can have various structures and tissues that may feel unusual to the touch. A movable lump above the testicle could be a number of benign conditions, such as an epididymal cyst or a hydrocele. An epididymal cyst is a fluid-filled sac that forms in the epididymis, which is the tube that stores and carries sperm. These cysts are typically painless and can vary in size. Hydroceles, on the other hand, are fluid collections around the testicle and can also be benign.

Another possibility is a varicocele, which is an enlargement of the veins within the scrotum. Varicoceles are often described as feeling like a "bag of worms" and can cause discomfort or a dull ache, especially after prolonged standing or physical activity. They are more common on the left side but can occur on the right as well.

While these conditions are generally not serious, it is crucial to rule out other potential issues, such as testicular torsion or tumors. Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and nausea. If you experience these symptoms, seek immediate medical attention.

In terms of tumors, while they are less common in young men, they can occur. Testicular cancer often presents as a lump or swelling in the testicle or surrounding area. It is usually painless, but it is essential to have any new lump evaluated by a healthcare professional.

Given that the lump you described is movable and soft, it is less likely to be a serious condition, but it is still advisable to consult a healthcare provider for a thorough examination. They may perform a physical examination and possibly an ultrasound to determine the nature of the lump. This imaging test can help differentiate between benign conditions and more serious concerns.

In summary, while many lumps above the testicle can be benign and harmless, it is crucial to have any new or unusual findings evaluated by a healthcare professional. Early diagnosis and treatment, if necessary, can help ensure your health and peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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