Feeling pain in the right testicle

I'm a male and I'm 19 years old.

Last May 2005, I had my appendix removed, a week after surgery I felt a mild-moderate pain in my right testicle. I feel the pain mostly when I walk for a long time, however when seated or sleeping I do not feel anything. And noticed that the right testicle is slightly larger than the left one.

I decided to get my physician to check it up in mid June, and he ordered an ultrasound test,

The report of the ultrasound indicated that both of the testicles are normal in size, however it says that the right epididymis shows a small cyst, measuring 2mm size, and right sided hydrocele noted with debri formation and few septae formation within, and no evidence of varicocele.
He gave me antibiotics for 5 days, however nothing have changed, I still feel the pain.

I had another ultrasound test on Aug. 14th and the results were,
(no evidence of varicocele, bilateral testes are normal, left epididymides is normal, evidence of a small epidydimal cyst on the right side measuring 1 cms, and minimal right sided free fluid seen in the upper pole of the right testes.)
Therefore the physician signed me on a long-term (2 weeks) antibiotics, but I think there is still no recovery,  since I still feel the mild pain in my testicle and it feels slightly larger than the left testicle.

The cyst have increased from 2 mm to 1 cms, though I was on antibiotics for 5 days.

My urine discharge is normal, and sexually, I was sexually active only in April.

I would like to know if there is a possibility of testicle cancer?
And what would you think the treatment is? Should I undergo the hydrocele surgery to remove it? And why am I still feeling the pain in my right testicle?

[Kevin Pho, MD]

To answer your questions:

1) With two ultrasounds not showing cancer, the likelihood of testicular cancer is very low.

2) Normally, cysts can be observed.  However if the urologist determines that it is the source of the discomfort, surgery can be considered for possible removal.

3) The same can be said for the hydrocele - normally, if they are small, observation is all that is needed.  Surgery can be considered if the pain persists.

4) Difficult to say without examination.  It is possible that the cyst and hydrocele may be responsible.

You can discuss these options with your personal physician.

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

[eddie m.]

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