I am a 77 yr. old male with a history of large kidney stones that have to be removed. So far, I've had four large stones removed, three by laser lith and one by extracorporeal shock wave lithotripsy; largest 22 mm and smallest 11 mm. A few days after each procedure, the urologist removed the stent in the ureter by grabbing the string, saying, "OK, on three," and then yanking the stent out on count of two. No pain, no strain. Out in less than a second. The last time I had the procedure, the urologist's assistant removed the stent. She said she needed to numb the area, squirted (?) something into the urethra, and then slowly pulled the stent out. The removal took a few (5?) seconds. Later that evening, I started feeling discomfort in my left testicle which rapidly became pain. I felt around on the testical and there was a large lump that felt partially attatched to the testicle. Touching it was acutely painful. I waited about a week and saw the urologist on a followup. I asked him if I might have contracted testicular cancer, and his response was that he guaranteed that I did not have testicular cancer. Since the pain had mostly gone away (but the lump was still there), I didn't press on about the issue. Anyway, it is not months later and the lump is still there, feels partially detached from the testicle, and is no longer causing discomfort. Is it possible that when pulling the stent, the epididymis was pulled partially away from the testical? Thank you for your consideration.
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Hello, guest.
The symptoms you're describing after the stent removal — the lump on the testicle and pain — could potentially be related to several conditions, but it does not necessarily indicate testicular cancer, particularly if the pain has subsided and there have been no other symptoms such as testicular enlargement, significant weight loss, or other systemic symptoms that are commonly associated with cancer.
One possible explanation for the lump and discomfort you experienced could be related to the epididymis, as you suggested. The epididymis is a coiled tube that sits at the back of the testicle and collects and stores sperm. If it was somehow affected during the procedure, it could cause pain and swelling. Another possibility could be a spermatocele or epididymal cyst, which is a fluid-filled cyst that can develop in the epididymis and may feel like a lump.
It's also possible that the procedure caused some inflammation or irritation in the area, leading to temporary pain and swelling, which has since resolved.
Given the persistence of the lump, it is important to have it evaluated to rule out any serious conditions, even if it's no longer causing discomfort. Testicular ultrasounds are often used to evaluate such lumps and can provide detailed images to help in diagnosis.
Please follow up with your urologist or consider getting a second opinion if you have ongoing concerns, especially since the lump is still palpable months later. It's always better to have such changes checked out to ensure that they are benign and not indicative of a more serious issue.
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