A PROBLEM SHARED
Got a problem? Dr Ranj Singh is here to off er his advice
I found a lumpy bit on one of my testicles the other day and I am not sure what it is. I’m starting to get worried. Could it be serious? What should I do about it?
Cameron, Somerset
There are lots of reasons why your balls might feel lumpy and, luckily, most of them are not serious. Let’s start with some of the non- serious reasons for testicular lumps.
Firstly, it could be that you are feeling the natural part of your testicle, which is called the epididymis. This is a coiled mass of tubes located towards the top and back of the testicle that stores and transports sperm. Sometimes this part becomes infected, painful and swollen ( a condition called epididymitis), and you may need to be treated with antibiotics. However, there is nothing to worry about if you aren’t experiencing any pain.
Another possible explanation for the presence of a lump could be that it is a hydrocele. This refers to a collection of fl uid around the testicles ( a bit like a cyst). Again, this isn’t usually serious, but if they grow in size, the fl uid will need to be drained off , which involves having a minor operation.
A lump can also appear when the veins that travel from each testicle become swollen, just like varicose veins in the legs. Although these don’t tend to cause any symptoms, they can be painful and, in some cases, potentially lead to infertility. If necessary, the veins can be treated with surgery.
The most serious reason for a testicular lump – which all men should be aware of – is testicular cancer. This typically aff ects guys aged between 15- 49, and often presents as a painless lump or swelling, or a change in the shape or feel of the testicle. Other symptoms include a dull ache or heavy feeling in the scrotum. Testicular cancer is highly treatable, and the earlier it is diagnosed, the better.
If you do discover a lump, it is important not to self- diagnose yourself, but instead to get checked out properly by your doctor. They will examine both of your testicles and arrange any further tests if required. It’s also key to get used to the look and feel of your balls ( in the bath, or just after a shower is a good time to check them out). Seek medical advice if you notice anything out of the ordinary.
“Get used to the look and feel of your balls — in the bath or after a shower is a good time to check them out”