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Lumps or swelling in the testicles are relatively common symptoms faced by boys and men, although the large majority of them will require minimal or no treatment at all. It is imperative, however, that a visit to the doctor is made if a lump or growth is detected so that more serious conditions can be ruled out.

Here are some of the common causes for the formation of a lump or growth in the testicles:

  • Enlarged veins within the scrotum can appear as bumps
  • A build of fluid around the testicles. This condition is called as a hydrocele.
  • Hernias. This refers to a condition where an organ penetrates its capsule and into another organ. Inguinal hernias are quite common and are caused when a part of the bowel starts to reach into the scrotum.
  • Cysts: A localized collection of fluid, commonly due to bacterial destruction in the area.
  • Inflammation
  • Testicular Cancer
  • Scrotal Injury

The incidence of testicular cancer is increasing in most parts of the world, mainly because of better diagnosis and detection, however, the chances of a lump being cancerous in nature are close to 4 out of every 100 cases.

What Should You Do After Detecting a Testicular Lump?

The first thing that you should do is to set up an appointment with your GP so that an examination can be done. Certain things to watch out for include a change in size, pain, difficulty in urination and continuous tenderness.

These are considered as red flags and be treated with the utmost severity. Sudden and severe pain in the testicles is considered as a medical emergency and the patient is advised to go the nearest emergency room as soon as possible.

Under routine circumstances, the GP will assess the lump and take a thorough medical history.

Diagnostic Tests

The doctor may choose to order one or more diagnostic tests including an ultrasound, a biopsy, blood test or even a CT scan.


The treatment for testicular lumps or swellings will depend on the underlying cause detected. In a large percentage of the cases only over the counter pain medication, supportive underwear and some amount of rest to the area is all that will be needed.

Aggressive treatment will be indicated if a cancerous growth has been found with the exact protocol being dependent on the progression cancer has made. It should be remembered though that testicular cancer has a tendency to spread to different parts of the body quite quickly so the doctor will almost always choose a more aggressive route of treatment.

Testicular torsion, a condition in which the testicles start to come under an excessive amount of pressure due to fluid build up is treated as an emergency and will require surgery within a few hours of detection. Delay to release the pressure may lead to the blood flow being cut off to the testicles and eventual atrophy.

The doctor may choose to surgically remove the fluid from around the testicular sack even if it is not a medical emergency.

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