Testicle Lumps and Swellings

Testicle lumps and swellings can be a cause for concern, as they may indicate an underlying medical condition. The testicles are two oval-shaped organs located inside the scrotum, responsible for producing sperm and testosterone.

Causes of Testicle Lumps and Swellings

  • Hydrocele: A fluid-filled sac that can cause swelling in the scrotum, often resulting in a lump or swelling on one side of the testicle.
  • Spermatocele: A cyst that forms on the epididymis (a tube behind the testicle), which can feel like a small, smooth lump.
  • Varicocele: An enlargement of the veins within the scrotum, similar to varicose veins, which can cause swelling and discomfort.
  • Epididymitis: Inflammation of the epididymis, often caused by bacterial infection, which can lead to swelling, pain, and lumps in the testicle area.
  • Orchitis: Inflammation of one or both testicles, usually caused by viral or bacterial infections, which can cause swelling, pain, and lumps.
  • Testicular cancer: A rare type of cancer that can cause a lump or swelling in the testicle, often accompanied by other symptoms such as pain, heaviness, or changes in testicle size.
  • Cystic swellings: Benign (non-cancerous) cysts that can develop on the testicles or epididymis, which may feel like lumps or swellings.
  • Trauma or injury: A blow to the testicle area can cause swelling, pain, and lumps due to internal bleeding or fluid accumulation.

Symptoms of Testicle Lumps and Swellings

  • Pain or discomfort in the testicle area
  • Swelling or lump on one or both testicles
  • Changes in testicle size or shape
  • Heaviness or feeling of fullness in the scrotum
  • Pain or discomfort during sex, urination, or physical activity
  • Fever, chills, or other signs of infection

Diagnosis and Treatment

A healthcare professional will typically perform a physical examination, take a medical history, and may order diagnostic tests such as:

  • Ultrasound scans to evaluate the testicles and surrounding tissues
  • Blood tests to check for infection or inflammation
  • Imaging studies (e.g., CT or MRI scans) to rule out other conditions

Treatment will depend on the underlying cause of the lump or swelling. Options may include:

  • Antibiotics for bacterial infections
  • Pain management and anti-inflammatory medications
  • Surgery to remove cysts, repair damaged tissues, or treat testicular cancer
  • Supportive care, such as rest, ice, and elevation of the scrotum, for minor injuries or conditions

When to Seek Medical Attention

If you experience any of the following symptoms, seek medical attention:

  • Sudden, severe pain in the testicle area
  • Swelling or lump that is rapidly increasing in size
  • Fever, chills, or other signs of infection
  • Difficulty urinating or painful urination
  • Blood in the semen or urine

Frequently Asked Questions (FAQs)

What are testicle lumps and swellings?
Abnormal growths or enlargements in the testicles.

What causes testicle lumps and swellings?
Injuries, infections, cysts, tumors, or varicocele.

Are all testicle lumps cancerous?
No, most are not.

How common are testicle lumps and swellings?
Relatively rare.

What age group is most affected by testicle lumps and swellings?
Young men, typically under 35.

Can testicle lumps and swellings be painful?
Sometimes, but often painless.

How are testicle lumps and swellings diagnosed?
Physical exam, ultrasound, or biopsy.

Can testicle lumps and swellings be treated?
Yes, depending on the cause.

What is the treatment for non-cancerous testicle lumps and swellings?
Antibiotics, surgery, or monitoring.

Should I see a doctor if I find a testicle lump or swelling?
Yes, promptly.

Article last updated on: 25th June 2025.
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