I detected a firm (not hard) pea-sized lump inside the sack on top of my left testical. It has not appeared to grow in size but has recently begun to hurt (a dull, aching pain). This testical also feels "heavier" then the right. I went to my family doctor and she said that it was probably spermatoceles, since the lump was on the top of the testical and not directly inside of it. Nevertheless, she suggested an appointment with a urologist--but could not get me in for a few months. Now, what I would like to know is how much should I worry? It does not sound like variocele or hydrocele, and I don't know my family history (other than many have had cancer just not testicular cancer). I am 23, in good health, and have been losing wieght recently--although I can't understand why because of late I have not been very active or eating very well. Please give me any advice or information you may have. Thank you.
Testicular lumps at your age need thorough investigation.
Location of a lump does help in differentiating the nature of the swelling,
but is a scientific guess at its best. The most important feature
differentiating these swellings is wether they are fluid filled or solid.
Fluid filled cystic swellings can either be a spermatocele, hydrorocele,
varicocele, or hernia. All of these can be better characterized on physical
exam. Solid swellings on the other hand can be some kind of growth arising
from testicle, epididimis or surrounding structures.
You need a detailed physical examination and possible scrotal ultrasound for the
differential diagnosis. You definitely need to be seen by an urologist or
an oncologist who can perform a physical examination and arrange for possible
ultrasound and other blood tests for a definitive diagnosis.
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).
*keyword: Scrotal swelling, testicular lump
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