Testicle pain and lump - HELP!

  I'm 17 years old and I've been having a recurring pain in my left testicle. It seems to go away after some days but it returns after a month or so. I've found a lump on the tip of my left testicle that is slightly bigger from the tip of a pin. I've also felt something like that on my right testicle, without being certain because it's smaller than the first lump. Also, sometimes after going to the toilet for my "emergency", something like semen will come out of my penis after finishing.
  Please help
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Dear John,
The lump on your testicle  could have been caused by several things including a hydrocele ,spermatocele or less likely testicular cancer.A quick review of your male anatomy may help you to understand these conditions. A hydrocele is a collection of fluid around the testicle that may be caused by a number of things including  previous infection/inflammation of the testicle or a previous hernia. A spermatocele is  a collection sperm containing fluid which is usually located at the head of epididymis. The function of the epididymis is to store sperm that has been made by the testicle.The epididymis  has three parts a head, body, and tail. A spermatocele at the bottom of the scrotum is most likely at the tail of the epididymis Without examinig you it is difficult to tell you if you have one of these conditions. However it is prudent to see a urologist for a lump in the scrotum to ensure that it is not something more serious.
The most serious condition that this lump may represent is a cancer specifically testicular cancer. However, if the lump is separate from the testicle this is unlikely.If you have seen a doctor who examined this lesion and told you it was alright,then I would recommend a follow-up with a urologist and possibly obtaining a scrotal ultrasound if you are very concerned. We have many specialists in this area. If you would like to see someone  at Henry Ford Hospital in Urology call [phone]. 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. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).

HFHS-MD  KR
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