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Urology (Expert Forum)
Re: Testicle Lump
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.
Re: Testicle Lump
by hfhs M.D.-AK, Jan 01, 1995 12:00AM
Posted By HFHS M.D.-AK on September 21, 1998 at 16:44:30:
In Reply to: Testicle Lump posted by Mike R. on September 07, 1998 at 22:57:19:
I have noticed a small bump on the top of my left testicle that
is the size of a small BB. I recently went to a physician and
had my testicles examined, and was told that they were ok, but I
forgot to tell my doctor about that bump. Is it possible that he
missed it or is could it be just part of the epidymus?
________
Dear Mike,
It is difficult to comment on this mass because I dont have the opportunity to examine you. There are several structures and potential abnormalities that can account for the description you gave. These are namely a spermatocele, hydrorocele, varicocele, or hernia. All of these can be better characterized on physical exam. If there is any question, an ultrasound can be obtained to determine if the mass is intratesticular or extratesticular. There is a big difference if the mass is coming or growing inside the testicle or from the surrounding structures. Most likely you have a spermatocele which I will discuss in detail but cancer must be ruled out.
A spermatocele is a cystic structure or outpouching of the epididymus. The cyst itself is usually firm and nontender. It is usually filled with sperm and epididymal fluid and considered a benign lesion. It is possible for it to lead to a decrease in fertility however this is uncommon. The most important part of diagnosis is to make sure there is no cancerous lesion. Again this can be done by a good physical exam or ultrasound.
I certainly cant tell you if this is a cancerous lesion over the internet. Without examining you, I dont want to comment on whether you should go to the urologist or go back to you family doctor. If you have a lump in your scrotum you need to be examined by a physician and bring it to his attention. If there is any question, an ultrasound should be performed to make sure there is no testicular cancer.
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.-AK
*keyword:Scrotal Mass
In Reply to: Testicle Lump posted by Mike R. on September 07, 1998 at 22:57:19:
I have noticed a small bump on the top of my left testicle that
is the size of a small BB. I recently went to a physician and
had my testicles examined, and was told that they were ok, but I
forgot to tell my doctor about that bump. Is it possible that he
missed it or is could it be just part of the epidymus?
________
Dear Mike,
It is difficult to comment on this mass because I dont have the opportunity to examine you. There are several structures and potential abnormalities that can account for the description you gave. These are namely a spermatocele, hydrorocele, varicocele, or hernia. All of these can be better characterized on physical exam. If there is any question, an ultrasound can be obtained to determine if the mass is intratesticular or extratesticular. There is a big difference if the mass is coming or growing inside the testicle or from the surrounding structures. Most likely you have a spermatocele which I will discuss in detail but cancer must be ruled out.
A spermatocele is a cystic structure or outpouching of the epididymus. The cyst itself is usually firm and nontender. It is usually filled with sperm and epididymal fluid and considered a benign lesion. It is possible for it to lead to a decrease in fertility however this is uncommon. The most important part of diagnosis is to make sure there is no cancerous lesion. Again this can be done by a good physical exam or ultrasound.
I certainly cant tell you if this is a cancerous lesion over the internet. Without examining you, I dont want to comment on whether you should go to the urologist or go back to you family doctor. If you have a lump in your scrotum you need to be examined by a physician and bring it to his attention. If there is any question, an ultrasound should be performed to make sure there is no testicular cancer.
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.-AK
*keyword:Scrotal Mass
