Re: Testicular/abdominal pain

[Ros__0__0]

Posted By Ross on August 10, 1999 at 09:10:28
I am a 30 yr old white male, About 8 years ago I noticed a small (bb or smaller) sized bump on my left testicle, it was generally painless so I didnt see a doctor. 4 years later it began to be sensitive so I saw a GP and then a Urologist. The urologist did a manual exam and told me it was a cyst (ganglian I beleive) now 4 years later I have mild pain/discomfort in my groin and lower abdomen, this occurs esp when sitting. The lump is still there and still the same size, it is sore if pressure is applied but the testicle itself is not sore otherwise. I saw my family doctor yesterday and after a very thurough manual exam he discovered I also have a spermocele above that testicl and this is also sore to the touch. THe lump is located on the top of the testicle twards the rear. Should I be seen by a urologist again? My family doc says he saw no evidence of anything cancerous and said I had probrably pulled my groin.

Thanks
Ross

[Tom__0__0]

Posted By Tom on August 11, 1999 at 23:42:37
Ross and the docs,
I, too, have a similar condition. I had a swelling above my testicle that was not painful, but uncomfortable. I saw a urologist first, who diagnosed it as a spermatocele. That was about three months ago. Since that time, my epididymis has become even more swollen and I am experiencing a dull ache in my groin and epididymis areas, but I'm just living with it. I've been seen by a nurse practitioner and my general doc and they both diagnosed me with spermatocele/swollen epididymis as well.
Good luck. I look forward to the responses.

[Kener]

Posted By Kenner on August 22, 1999 at 11:20:21
I have had increasing testicular pain for three months, primarily in my left testical. I cannot feel lumps or locate the exact spot of the pain since it seems to be generalized. The pain radiates to my abdomin (abdomen), buttocks and thighs. The pain can be best described as soreness and a dull ache. There is some pain in the testical during urination (not burning in the penis) and some relief with a bowel movement. I have an appointment with my primary care physician, but it is several weeks away. Any insights or suggestions?
Thanks for your help.

[hfhs M.D.-AK]

Posted By HFHS M.D.-AK on August 23, 1999 at 10:46:52
Dear Ross,
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 do have a spermatocele as your family doctor stated, which I will discuss in detail.
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 cant tell you how to live your life and 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.  However, if your doctor got an ultrasound and that is read as a spermatocele and there is a comment stating that there is no intratesticular mass, I dont think your chances of having testicular cancer are low.
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

[Craig__0]

Posted By Craig on August 23, 1999 at 22:13:05
I have a similiar problem for over a year. No bumps, but after a warm bath I can see the right testicle has a larger oval shaped lump on top and front of it.  I saw two urologists who checked me for hernia and testicles. They both found nothing and said if it bothers me I can go for an ultrasound or MRI. Well after excercise I have extreme pain for 3 weeks so something is definetely going on here. Here is my story:
I am a 33 y.o. 5'6 115lb male. I have always been thin like my father.
So a few years ago I started weightlifting. Well, I didn't get bigger, just defined.  2 years ago I felt a pain while trying deadlifting. I stopped and returned a few weeks later. Ever since then I had a feeling like my right side underwear was too tight around my groin and waistline area. This went away 2 days after each time I lifted so it was no big deal.  Then about a year ago it got a lot worse. I really started pushing myself and a few hours to a day later, I was in severe pain for 3 weeks. My right testicle and appendix area was so sore I could barely walk. This went away and I waited 2 months and tried again. It came back and I was in pain for 3 weeks. Now I haven't excercised in a year. I also have the annoying pinching near the appendix area, occasional tender feeling or numb feeling in right testicle, or strange prickly abdominal area. These feelings change from day to day, some days bad, others not even there.  This all started with a feeling of a string between my right testicle and right hip being pulled on.  Since it got worse I went and saw two urologists recently.  One thought it was prostatitis and put me on anitibotics for 3 months. The other had no idea and said not to worry about it or go get an ultrasound or MRI. Both checked me for a hernia and checked my testicles. Neither found anything wrong with me.  I can not believe that I should always have these strange annoying pains or feeling in the inguinal area, and I am sure I should not be in extreme testicular pain and abdominal pain after excercising for 3 weeks.  One of them said maybe I have a pinched nerve in the back that could cause this referred pain. I can not believe all this could be referred from my back but he said maybe see a sports medicine doc.  Do you have any idea what could be going on?
Thank you,
Craig

[Amy__0__0]

Posted By Amy on September 04, 1999 at 16:27:52
My husband has an almond shaped lump inside his scrotom next to his left testicle.  It doesnt hurt unless you try to touch it.  He has had a vasectomy 3 yrs ago (but that was on the right side).  1 1/2 yrs ago, he lost 50 lbs in two months, for no reason.  He has been extremely tired, depressed, and gets angry very easy.  He also has unexplained high-blood pressure.  Could this be testicular cancer?  Do I need to worry?
Thanks,
Amy










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