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Urology  (Expert Forum)
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Lumps on Testciles
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Lumps on Testciles

by jasarisi, Nov 07, 2004 12:00AM
I am a 22 yr old male and experienced a hard small BB sized lump on my right testicle at the age of 12. I went to the urologist and he told me it was an appendix teste and was benign. About 2 years later, I found another lump on the back end of my left testicle; however this one feels different. It's almost like some other posters said how its connected or it "flops" or twists around when touched. It's on the testicle, connected or growing out of it somehow, like a bulb. It can be painful if bumped and twisted around, but if left alone it's fine. I have not noticed any growth in it in the 8 years it's been there. I have seen some of the symptoms of TC and they seem generic. I know even having the symptoms can result in something totally unrelated also. I have had the aches in the lower extremities before every once in a great while, but nothing that is on-going daily or weekly. A few months ago I began having back pain and I went to my GP about it. They did an x-ray and said they found nothing but some arthritis which I take medicine for. Plus I sit at a desk in an uncomfortable chair all day (with poor posture), as back pain can be common among many because of this. I have had the 1st lump, appendix teste, for about 10 years and the 2nd one on my left testicle for about 8. Most of the time they really don't bother me, but I'm somewhat paranoid. If it were something serious, wouldn't I notice by now? I don't feel like my back pain has anything to do with it. It is a concentrated pain in one area at a time, left center or right near the tail bone. Taking Celebrex, Bextra, or muscle relaxers do aid some relief. I am thinking it might be a spermatocele based upon the readings from this forum. Would you be able to help me out on this?   Thanks

by Kevin Pho, MD, Nov 08, 2004 12:00AM
All the possibilities you mentioned should be considered.  I'm not sure what X-ray was done, but the correct test would be an ultrasound.  This can evaluate for any suspicious masses, including cancer, cysts or spermatoceles, and should be done to put your mind at ease.



This can be discussed with your personal physician or in conjunction with a urology referral.  



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

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