Husband's testicle

  One of my husband's testicles feels like it has a mass on it, it is like it is 1/2 again it's size and is irregular, but connected.  I have also listened to him get up in the night and take a long long time to urinate.  He is 48 1/2 and will not admit he is having a problem.  Help!

[HFHS M.D.-BE]

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Dear K,
Anytime a man finds a lump--of any size--on his testicle(s), that does not resolve spontaneously, he needs to be evaluated by a physician.  Not all masses on a testicle are cancerous, but cancer should always be ruled out. Peak incidence of testicular cancer is between the ages of 20 and 40.  The usual presentation of a testicular tumor is a painless swelling or a nodule (small hard bump).  This may be noted incidentally by the patient or by a sexual partner, as well as during testicular examination. Usually they involve the testicle itself and only in 10% - 15% of cases do they spread to the epididymus or spermatic cord.  While we are talking about testicular cancer, it is not certain that this is the diagnosis.  However, if it is indeed cancer, it is quite curable, especially when discovered and treated early on.  It is important for your husband to follow up with his physician, or a urologist, who will order an ultrasound study of the testicles/scrotum, if necessary.  Do not let fear nor false security keep you from making an appointment.  
As far as the frequent urination at night, this can be caused by different things, one of which is an enlarged prostate. This problem can also be evaluated by your primary doctor or urologist.
        
This information is provided for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BE
*keyword: testicular mass