Dull pain due to Scrotal pearl?

[jaymespr30]

Hello. About 2 years ago I noticed a small lump on my right testicle. Their was no pain or swelling. The Dr checked it out and said it was normal. About 2 months ago I had dull aching pain. I got a ultra sound done. The lady performing the ultra sound asked me to find the lump. The problem was that i could not find the lump at the time. It was hard to find. She said not to worry because she found a lump that was 5mm. It came back as a calcification or scrotal pearl. But i still was feeling on and off pain all over my right testicle. I would perform daily inspections on myself at home in the shower. I noticed that the lump was always at the bottom of my testicle. The lump seems that it's on my testicle but when I touch it I noticed that I can move it anywhere, it doesn't seem attached because i can move it. I went to the Urologist. He checked over the ultra sound and felt my epidydimis. It hurt really bad. He told me that I probably have epidydimitis and he also thought that the scrotal pear or calcification was inside the epydydimus. I took bactrium for 3 weeks. in that time the pain reduced about 60 percent. But now it seems like the lump is a little larger. I can easily find it now and I can sill move it around. The urologist said it can't be cancer because i can move it around. Is this true? if it's not cancer can a calcification or a scrotal pearl grow at all? What else can this be? what is the procedure of getting this taken out? Your opinion will be greatly appreciated.

[Kevin Pho, MD]

Testicular cancer usually presents as a firm mass.  Most are non-moveable, but atypically, some can be moved.  The scrotal ultrasound should be able to differentiate whether this is cancer or not.  

It is possible for a scrotal pearl to enlarge over time.  Other possibilities for a scrotal mass can include a cyst, hydrocele or varicocele.  These possibilities should be able to be seen on ultrasound.  

If the symptoms worsen, then this can be surgically removed.  I am not a urologist - so I cannot give exact details for the procedure this would entail.

These questions can be discussed with your personal urologist.

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.
http://www.straightfromthedoc.com