Testicular Bumps: Common Concerns and Myths - Urology

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A small lump has formed?


Hello, Dr.
Hsu: I have noticed a small bump on the skin at the back of my testicle.
It's strange because sometimes it itches a little, and sometimes it doesn't.
Is this something that everyone experiences during puberty? Also, do all men need to masturbate during puberty?

Lurén Xī, 10~19 year old female. Ask Date: 2016/02/04

Dr. Xu Weikai reply Urology


Hello, if the growth is located on the skin of the scrotum, it could be a sebaceous cyst, folliculitis, or other conditions that may require further diagnosis.
Not every man engages in masturbation.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/04

More Info


When it comes to testicular bumps, it's essential to approach the topic with a clear understanding of what they might signify and to dispel common myths surrounding them. Testicular bumps can arise from various causes, some benign and others that may require medical attention.
Firstly, it’s important to note that the presence of a bump on the scrotum or testicle is not uncommon. Many men experience some form of lump or bump during their lifetime. These can range from harmless conditions such as sebaceous cysts, which are small, non-cancerous lumps filled with oil and dead skin cells, to more serious concerns like epididymal cysts or varicoceles. Epididymal cysts are fluid-filled sacs that can develop in the epididymis, the coiled tube at the back of the testicle, and are generally harmless. Varicoceles, on the other hand, are enlarged veins within the scrotum and can sometimes affect fertility.

In your case, the bump you described, which sometimes itches and sometimes does not, could be a benign condition. Itching may suggest irritation or an allergic reaction, possibly to soaps, detergents, or even friction from clothing. However, if the bump persists, changes in size, or is accompanied by other symptoms such as pain, swelling, or discharge, it is crucial to consult a healthcare professional for a thorough evaluation.

Regarding the myth that every man must masturbate during puberty, it is important to understand that masturbation is a normal behavior for many, but it is not a requirement. Puberty brings about various physical and hormonal changes, and many young men may feel an increased sexual drive, which can lead to masturbation. However, it is a personal choice, and there is no medical necessity for it. Each individual’s experience during puberty is unique, and some may choose to explore their bodies while others may not.

If you are experiencing discomfort or have concerns about the bump, it is advisable to seek medical advice. A healthcare provider can perform a physical examination and may recommend an ultrasound or other tests if necessary to rule out any serious conditions. Regular self-examinations of the testicles can also help you become familiar with what is normal for you, making it easier to identify any changes that may occur.

In summary, while testicular bumps can be concerning, many are benign and do not require treatment. However, it is always best to err on the side of caution and consult a healthcare professional if you have any doubts or if the bump changes in any way. Understanding your body and being proactive about your health is key, especially during the transformative years of puberty.

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