What Can Be the Lump on the Testicle

The lump in the testicle, also known as lump on the testicle is a symptom which is relatively common which may arise in men of any age, from children to the elderly. However, the lump is rarely a sign of a serious problem such as cancer, whether or not accompanied by pain or other symptoms such as swelling or a feeling of pressure.

However, in any case it is always important that the lump be evaluated by a urologist, since it is the only way to confirm if it is or is not a serious problem. And even that is not severe, the lump is being caused by some other change, that may or may not require treatment.

1. Hydrocele

The hydrocele is a small pocket of fluid that accumulates next to the testicle, and which, therefore, can lead to the emergence of a lump. This problem is most common in babies, but can also happen in adult men, especially after 40 years. Although it is not a serious problem, its size can vary greatly, and the larger ones can even lead to the emergence of pain and discomfort.

  • How to treat: usually do not need any type of treatment, but if it is causing a lot of discomfort the urologist might advise a minor surgery with local anaesthetic to make a small cut in the scrotum and remove the hydrocele.

2. Varicocele

This problem happens when the veins that carry the blood from the testes, dilate and become wider than normal, and eventually accumulate the blood and generate the feeling of a lump. This is the main cause of lump in the left testicle, but can happen on both sides. In these cases, it is also common to feel pain and sense of weight.


  • How to treat: most of the time the varicocele is controlled with drugs pain relievers, such as Dipirona or Paracetamol, but if there is a risk of infertility, the doctor may recommend to have surgery to close the vein that is dilated and make the blood to pass only from the ones that are still healthy, improving the functioning of the testis.

3. Epididymitis

Epididymitis occurs when the epididymis that connects the testicle to the vas deferens, becomes inflamed, usually due to a bacterial infection that happens in cases of unprotected anal sex. In addition to the sensation of a lump in the testicle, can still develop other symptoms such as pain, fever, and chills.

  • How to treat: it is necessary to take antibiotics to combat the infection, usually with 1 injection of ceftriaxone and 10 days of use of pills of doxycycline.

4. Torsion of the testis

The torsion of the testis is usually one of the most easy to identify in the testicle, it causes the emergence of a pain sudden and very intense, in addition to swelling and lump in the testicle. The twist is more common in boys and men under 25 years of age.

  • How to treat: testicular torsion is a medical emergency and, therefore, the treatment with surgery must be started within the first 12 hours to avoid death of the tissue of the testicle. Thus, in the case of suspected torsion is very important to go quickly to the er.

5. Cyst in the epididymis

This type of cyst, also known as espermatocele, consists of a small pouch that forms in the epididimo, the location where the vas deferens connects to the testicle. In most cases, the cyst does not cause pain, but if we continue to grow over time, in addition to a lump attached to the testicle, can also arise pain or discomfort.


  • How to treat: the treatment is required when there are symptoms, being started with the use of analgesics, such as Acetaminophen or Ibuprofen. However, if there is no improvement after 2 weeks may be necessary to do a surgery with general anesthesia to remove the cyst.

6. Inguinal hernia

The emergence of inguinal hernias happen when a portion of the intestine cannot pass through the muscles of the abdomen and, therefore, it is more common in cases of weakening of the abdominal, as happens in children, the elderly and people who have had any surgery. This hernia can sometimes pass into the scrotum, creating the feeling of a lump in the testicle.

  • How to treat: needs to be treated with a surgery to reattach the portion of the intestine inside the abdominal region.

7. Testicular cancer

Although it is one of the most rare, the development of testicular cancer can also cause the growth of a small lump on the testicle. Typically, cancer develops without causing any type of pain, and, therefore, it is very important that any type of stone to be evaluated by a urologist, even that does not cause pain.

  • How to treat: in almost all cases it is necessary to remove the testicle affected to avoid that some cancer cells may survive and infect the other testicle, or to form metastases, for the rest of the body.


When you go to the doctor

The symptoms that indicate that it is important to quickly go to the emergency room include:

  • Pain very intense and sudden;
  • Swelling exaggerated in the location;
  • Fever and chills;
  • Nausea and vomiting.

However, in any case it is always important to go to the urologist to evaluate the lump, because, even though do not arise out of symptoms, you may be developing a problem that needs treatment or that is too serious, such as cancer.

What Can Be the Lump on the Testicle 1

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