Re: lumpy epididymis

Posted By Doug Bank on March 13, 1998 at 10:22:40:

In Reply to: Re: lumpy epididymis posted by HFHS M.D.-MS on March 12, 1998 at 17:57:09:







: : I'm 20 years old and just done the self check test on my testicles and found that my left epididymis is quite noticablly lumpy. When it reaches the testicle there is a small lump.
I have no idea how long it has been like this-Would you have any Idea what this could be, if anything at all?
Thanks
tommyk
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Thanks Tommyk for your question.
Sometimes the exact location of this lump can be difficult to discern on testicular exam. I would get a second opinion from your doctor quite soon.  If he/she has a question, a scrotal US can be ordered to look at this area more closely. Testicular cancer a concern if the mass is in the testicle.   If it is indeed in the epididymis   then it is most likely a cyst containing sperm. One of the multiple sperm ducts leaving the testicle may have become blocked and then dilated  forming what is called a spermatocele.   A spermatocele is usually not a problem, fertility is preserved. There are some more rare tumors (both benign and malignant) that maybe considered by your urologist.  
More individualized care is available at the Henry Ford Hospital and its satellites (1-800- 653-6568). We can also arrange local accommodations through this number if this is
your need. Please bring any physicians? notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Hope this has helped.
Sincerely;
HFHS M.D.-MS
* Keyword: epididymal cysts, spermatocele
When you say lumpy, I do not get the impression that there is just a single lump, nor do I get the impression that there is a lump on the testicle.
What the doctor said is correct. You ought to go see a urologist and have it checked.
BY the way, it could also be a varicocele - a varicose vein in the epididymis.  Take a look at http://www.aafp.org/afp/980215ap/junnila.html. Specifically, look at the sections and pictures on varicocele and spermatocele. Do either of these seem to describe what you have?
Anyway, see your doctor!
Good Luck
Doug


Testicular Cancer Resource Center