A few weeks ago, I was giving myself a basic inspection of my testicles and I noticed I had a small dime/nickel-sized loose bulge above my right testicle. At times, I can't even see it unless I tighten my penile muscles (the same muscles you tighten when you ejaculate or, to put it another way, the muscles you use that cause your testicles to lift up). This action seems to push this "thing" outward against the scrotum skin and can sometimes make it more visible. Anyway, this bulge is right above my right testicle (almost directly on top of it) but does not feel like it’s part of the testicle. It’s like it’s loosely attached to it. It has absolutely no pain to the touch. In fact, it doesn’t feel like anything except scrotum skin. It seems more visible at night when the scrotum skin is looser (or more relaxed). It’s almost like it’s nothing more than some skin that has a little liquid in it if anything.
When I first noticed this thing, I began to worry about it and I arranged a basic consultation with a general surgeon from a local hospital who specializes in hernia repair, anal medical procedures, and an assortment of laparoscopic surgery techniques. Needless to say, I thought he'd be perfectly qualified to determine whether this thing was something worth worrying about. (Bear in mind, I have no insurance and this visit cost me around $245.00 to do.)
He performed a hernia inspection, poked around, felt all around, and did an extensive visualization of the area. He did the whole "turn head, cough" bit multiple times, had me on the inspection bench doing a few sit-up motions as he inspected the area. After he was done, he said he saw nothing to worry about. He didn't feel anything hernia-related and said that everything felt/looked normal. He said since there wasn't any pain, that it was likely something benign, maybe a collection of fluid. He said at worst, it might be the beginning of a small hernia, but said he couldn't know for sure without doing a CT scan. Since I have no insurance at present, I opted to just live with it. He didn't have any problems with this approach and was more concerned about my blood pressure than he was this thing.
Thing is, I can't stop worrying about it. I'm now fearful of masturbating and worried that if it's a spermatocele, it's just going to get bigger and bigger until I'm forced to do something about it. I don't know what else it could be, but I've been keeping an eye on it and I'm just not sure how to proceed except to arrange a consult with an actual urologist.
Based on my own research, it seems like it might be a spermatocele. From what I understand, these are benign masses that collect fluid, but they don't normally go away on their own and out of everything I've read about them, it sounds like they just keep growing into perpetuity. Is that true?
Look, I'm not proud of admitting it, but I do masturbate often. I’m a single guy, and I'd say on average, it's usually about 1-3 times per-day, and if I'm having a “good day” where I have no stress or anxiety (which is rare), it might be a little more; but most often, it's just once or twice per-day on average. I don't want to make this thing worse, and since I've looked into it online, I haven't masturbated at all. Honestly, I'm almost panicking. I can't say if it's getting worse because I don't think it is. I don't think it's reducing in size, either, but it's only been a few days since my doctor's visit. That doctor even said to carry on with life like normal, but how can I do that knowing this will just keep growing? Or am I worrying too much? Maybe I’m completely wrong about all of this?
I'm planning on calling a local urologist's office tomorrow to get some quotes on costs for both a basic consult as well as the cost for a possible CT just to have an idea of what to expect, and go from there.
Thoughts? Again, it's completely painless and sometimes (like in the morning after waking up or when my scrotum skin is more rigid), I can barely even see it. It's like it becomes most visible at night or whenever the scrotum skin is loosest. I feel pretty stupid posting this on here, but I figured it can't hurt if actual urologists use this website.
I’d love any input about this to put my fears to rest. I know I haven’t had a CT yet, but assuming my last doctor visit was correct, am I just being a worry wart?