[28M] With soft lump on testicle

Patient Description

A 28-year-old male noticed a small, soft lump on the outside of his testicles today. The lump causes pain when squeezed and is accompanied by slight swelling, but no redness. There are no additional symptoms such as fever, chills, or changes in urination. The patient reports no recent injuries to the area, no recent unprotected sexual encounters, and no history of sexually transmitted infections. This is the first occurrence of such a lump, with no known family history of testicular conditions or cancer. The patient has no pre-existing medical conditions and is not taking any medications.

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Arora's Assessment

What might be happening

Based on your description, here are some possibilities:

  • Epididymal Cyst (Spermatocele): A fluid-filled sac that can form in the epididymis, often soft and painless, but can cause discomfort if pressed.

    • Treatment: Often requires no treatment unless it causes discomfort, in which case a doctor might suggest surgery.
  • Inguinal Hernia: Occurs when tissue pushes through a weak spot in the groin muscles, sometimes causing a lump in the scrotum.

    • Treatment: May require surgical repair if it causes pain or complications.
  • Testicular Cyst or Lipoma: Benign growths that can occur in the scrotal area.

    • Treatment: Usually monitored unless they cause discomfort or grow.

It's important to consult a healthcare provider for a proper diagnosis and treatment plan.

What you can do

  • Monitor the Lump: Keep an eye on any changes in size, shape, or pain.
  • Avoid Squeezing: This can cause more discomfort or swelling.
  • Wear Supportive Underwear: This can help alleviate discomfort.
  • Use MDandMe: Journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you notice:

  • Rapid increase in size
  • Severe pain or discomfort
  • Redness or warmth in the area
  • Fever or feeling unwell

Remember, it's always best to consult a healthcare professional for a formal diagnosis and treatment.

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People Also Ask


What could cause a small, soft lump on the testicles?

A small, soft lump on the testicles could be caused by several conditions, such as an epididymal cyst (spermatocele), an inguinal hernia, or a testicular cyst or lipoma. It's important to consult a healthcare provider for an accurate diagnosis.


Is it normal for a testicular lump to be painful when squeezed?

While some testicular lumps can be painless, others may cause discomfort or pain when squeezed. Pain can be a sign of irritation or pressure on surrounding tissues, and it's advisable to avoid squeezing the lump and consult a doctor.


What are the treatment options for a testicular cyst or lump?

Treatment options for a testicular cyst or lump depend on the cause and symptoms. Many benign lumps, like epididymal cysts, may not require treatment unless they cause discomfort. In such cases, surgery might be considered. It's best to discuss options with a healthcare provider.


When should I see a doctor about a lump on my testicles?

You should see a doctor if the lump rapidly increases in size, causes severe pain, is accompanied by redness or warmth, or if you experience fever or feel unwell. Any new or unusual lumps should be evaluated by a healthcare professional.


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