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Forum Name: Urology Topics

Question: Pain and small bump found in right testicle


 00tsinoisiver - Tue Oct 13, 2009 8:49 pm

Hello,

It all started some time about a week or two ago, I started to notice some pain in my right testicle. It was a dull pain and happened only when walking or sitting wrong. The pain has not grown more intense as the week progressed just stayed "tender". I decided to examine my testicles when I noticed a small bump the size or a pencil led. After discovering it, I immediately called my doctor to schedule a appointment. After the appointment the doctor referred me to a urologist and directed me to get an ultrasound. After my ultrasound me and the technician started talking, and she noticed that I was visibly upset. She assured with out giving me a diagnosis that I should not be worried. She stated that the bump looked superficial (although it looked to be attached the the right testicle) and did not look like a cancerous lump, she also mentioned that she has been doing this for years.

My question is are cysts usually painful and if so what can I do to relieve the pain. The doctor prescribed me no medication and did not seem too concerned with the bump and even told me to check back in a month to look at my blood pressure (since it was high because I was extremely anxious). I could not tell you when exactly the pain started but it could not have been more then a week or so. The only time it hurts is when pressure is on the right testicle (touching, moving, sitting wrong and walking).

I am a 24 yr old, married (4+ years) that is fairly active. (running, sports..etc)

I am still concerned and awaiting an appointment with a urologist (they are telling me it can be a month before I can even get an appointment).
 Dr.M.Aroon kamath - Thu Oct 22, 2009 8:28 pm

User avatar Hi,
You have not mentioned the exact location of this 'lump'.
There are some differential diagnoses however...
- appendix of the testis (usually at its upper pole)
- appendix of the epididymis(again at the upper pole of epididymis)
- thickened lower pole of the epididymis (usually due to epididymitis)

All of these are capable of producing recurrent pains. The first two of them can present with acute excruciating scrotal pain if they undergo torsion on their pedicles(and thus mimick torsion of the testicle).
Important to always exclude torsion (doppler during ultrasound examination will be able to show this).
I hope this inormation is useful to you.

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