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Urology  (Expert Forum)
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Mass on right teste:
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.

Mass on right teste:

by Capt-Ben-Riciardi, Oct 30, 1998 12:00AM

  Approximately 25 years ago I noticed a pea sized mass on my right teste, the mass itself is not actually on the teste, but it appears to be in a tubal attachment which is on top of the teste. At that time I went to a urologist who examined the mass
  by squeezing it between his fingers (which caused me to see stars) also used a light to shine through it, the doctor stated it was mostlikely caused a blown out sperm duct, he refered to it as a spermatocele, and told me not to worry about it unless it got bigger or became to painful. It has remained the same size but now as then is tender when manipulated. I've read about the upsurge of TC in men and became concerned, I'm 54 years old, could this have been misdiagnosed and actually be TC all these years??  If it is not TC and a spermatocele as disganosed 25 years ago, is there any risk in having it removed??
-----------------------------------
Dear Capt. Recciardi,
I understand your concern and I want to reassure you that this is unlikely to be a cancer.Spermatoceles are not associated with cancer (of the testis nor of the epididymus, which is the tubular structure that you describe). Spematoceles do become tender at times as well as enlarge at times. They can be surgically removed during an outpatient operation if you so desire. The usual indications are discomfort (emotional or physical) or cosmetics. The risks of removal are that you might become sterile from this testis, develop an infection, develop another spermatocele in the future,or, worst case (and extremely unlikely) loose this testis. You do not loose anything by delaying your decision.
This information is provided for general medical information purposes only. Please consult  your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital  and its suburban locations (I-800-653-6568).
Sincerely,
HFHS M.D.-SAL
*keyword: Spermatocele, Testes cancer





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