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Urology (Expert Forum)
Soreness in testicals and lower abdomen
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.
Soreness in testicals and lower abdomen
by Scared__0, Aug 25, 1998 12:00AM
I have been experiencing a soreness that started in my right testicle
and seems to 'move' to the left and the lower abdomen.. it is not a
painful thing, just 'annoying'. I did find a small mass above my right
testicle that was soft and not attached to the testicle. The discomfort
seems to have begun there. If I press on my lower abdomen toward my groin
area there is noticable tenderness. Please offer some advice.. is it a
viral infection or something else?
and seems to 'move' to the left and the lower abdomen.. it is not a
painful thing, just 'annoying'. I did find a small mass above my right
testicle that was soft and not attached to the testicle. The discomfort
seems to have begun there. If I press on my lower abdomen toward my groin
area there is noticable tenderness. Please offer some advice.. is it a
viral infection or something else?
Doctor's Answer
by hfhs M.D.-AK, Aug 25, 1998 12:00AM
Dear Scared,
It is difficult to comment on this mass because I don’t 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.
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. As you described it is usually a mobile small mass that is not attached to the scrotum. 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.
Since you are “SCARED” I would suggest you are evaluated by a urologist to rest you mind and confirm exactly what this mass is. If an ultrasound is needed your urologist can order one, and if something needs to be taken right away, your urologist would be prepared to handle the situation.
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
