I am suffering from some problem in my testis. There is no pain or swelling. I can just feel the right testis has some lump on it and its out of the normal shape. Can you pls suggest what could it be?

Dr. Garima SharmaGeneral Physician8yrs exp

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Hi lybrate-user, scrotal mass is a lump or bulge that can be felt in the scrotum, and may result from a variety of factors There are several kinds of scrotal masses: 1. Hydrocele (non-cancerous): A mass or swelling caused by a buildup of fluid around the testicle. This swelling can occur after testicular injury or after hernia surgery. 2. Spermatocele (non-cancerus): A cyst-like growth that contains fluid and dead sperm cells. This is usually located above or behind the testicle in the epididymis (tubing behind the testicle that carries sperm). This is more common in men who have had a vasectomy or testicular injury. 3. Epididymitis: This is inflammation of the epididymis, the tubing behind the testicle that carries sperm. This inflammation can form a tender lump or mass behind the testicle. 4. Varicocele: An enlargement of the veins behind the testicle, almost always on the left side. These distended veins, also known as varicose veins, are only present when standing, and disappear when lying down. Varicoceles are sometimes associated with infertility. They can cause a ?heavy? sensation in the left testicle when standing. 5. Testicular Cancer: Testicular cancer occurs when abnormal cells grow out of control in the testes. It usually forms a hard lump in the testicle itself. Testicular cancer is less common than the other causes of scrotal masses, but it is the most serious. The cause can be found out with the following tests: 1. Blood work: Blood may be drawn and examined for high levels of certain proteins that are often secreted by testicular cancer. These proteins include alpha-fetoprotein (AFP) and human chorionic gonadotropin (HCG). 2. Biopsy: An examination of the tissue for abnormal cell growth. Because of the high risk of contamination and the spread of cancer by doing a scrotal biopsy, the affected testicle is almost always removed and the tissue is examined. The sample will show the type of cancer. 3. Imaging or X-ray tests: CT scan: Performed to screen for and determine extent of disease, including involvement of surrounding tissues or other organs. Ultrasound: The physician can produce images of the testes using a wand-like instrument called a transducer, which emits sound waves and picks up the echoes as they bounce off organs. - Depending on the condition, different treatments may be needed: 1. Hydrocele: This fluid buildup generally does not require treatment. If the hydrocele become too large or bulky in the scrotum they can be surgically removed. 2. Spermatocele: These growths also generally do not require treatment. If they become too large or tender they can be surgically removed. 3. Testicular cancer: Nearly all men with testicular cancer undergo surgery to remove the affected testicle, a procedure called radical inguinal orchiectomy. 4. Epididymitis: This condition is generally treated with antibiotics and anti-inflammatory medications. 5. Varicocele: Enlarged veins usually do not require treatment unless they are so large they are causing severe symptoms or infertility. Hope this helps. Good luck.  

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