Men's Fitness - - Beat Disease -


On ex­am­in­ing your tes­ti­cles (which you should do at least once a month), you dis­cover a lump.


Lumps and swellings in the go­nad depart­ment can be caused by many things other than can­cer. Th­ese in­clude epi­didy­mal cysts (fluid col­lect­ing on the epi­didymis, the tube be­hind the tes­ti­cles),

epi­didymo-or­chi­tis (in­flam­ma­tion of the epi­didymis and tes­ti­cles), in­guinal her­nias (where tis­sue pokes through into your groin), hy­dro­ce­les (a build-up of fluid) or varic­o­ce­les (swollen veins). A sud­den and very painful swelling of a go­nad

could be due to tes­tic­u­lar tor­sion.


If you find a lump, con­sult your GP. ‘Your job is to find the lump. My job is to tell you what it is,’ says Rata­jczak. If the doc­tor is con­cerned, he or she may send you for an ul­tra­sound scan. Sud­den or

se­vere pain should send you straight to A&E.


Epi­didy­mal cysts are harm­less and nor­mally don’t need treat­ment. Epi­didymo-or­chi­tis usu­ally calls for an­tibi­otics, while varic­o­ce­les are of­ten

treated with painkillers and sup­port­ive un­der­wear but may need to be op­er­ated on. Hy­dro­ce­les are sur­gi­cally drained, and in­guinal

her­nias re­quire a rou­tine op­er­a­tion, but tes­tic­u­lar tor­sion is more se­ri­ous (and a lot more painful) and will need ur­gent surgery within hours

to save the tes­ti­cle. Tes­tic­u­lar can­cer usu­ally means re­moval of the

of­fend­ing go­nad, some­times fol­lowed by chemo­ther­apy and/or ra­dio­ther­apy. ‘The doc­tor plans your treat­ment by tak­ing into ac­count the

type of tes­tic­u­lar can­cer and whether it has spread be­yond the tes­ti­cle,’ says can­cer nurse Robert Cornes of male can­cer char­ity Or­chid


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