Serious concerns will cause any man a bump on the testicle. The seal is painful, causes discomfort and inconvenience. Most often it is a spermatocele, but only a urologist can establish an accurate diagnosis. Perhaps these are the initial signs of cancer, so it is important to contact a qualified specialist as soon as possible.
What is a spermatocele
Spermatocele is a dense formation of the testis and its epididymis, which contains seminal fluid and spermatozoa. Usually the disease is asymptomatic, because the size of the neoplasm is small, the cyst grows very slowly. In some cases, the patient may complain of pain in the scrotum. A cyst is formed due to a violation of the normal outflow of fluid in the ducts. Benign education is often diagnosed in children and adolescents during puberty (6-14 years), as well as middle-aged men (40-50 years). In both cases, the causes are age-related changes.
Causes of pathology
A seminal cyst, or spermatocele, can be acquired or congenital. In a child, a bump appears due to the formation of gland ducts. The formation will not be large, the maximum size does not exceed 2-2.5 cm. The cavity of the cones is filled with a thick yellowish liquid, in which there are no spermatozoa and impurities.
A lump on the testicle in men may appear due to some acquired disease. Reasons may be:
- any injury (strong pressure, impact, cut or tear);
- inflammatory diseases (most often it is vesiculitis, orchitis, deferentitis or epididymitis);
- frequent hypothermia of the body;
- lack of regularity in sexual life (too frequent or rare contacts);
- postoperative changes;
- constant stress.
The result of the influence of these unfavorable factors is that the functional ability of the ducts is disturbed, a secret accumulates in their compartments, stretching the walls, a bump is formed under the testicles. In men, such a neoplasm can be of different sizes, shapes, structures, and have different contents. Inside may contain a substance of different colors, in which, as a rule, signs of sperm are found.
Neoplasms are predominantly formed on the left testicle, but it happens that a cyst also occurs on the right. Any swelling may indicate a pathological process. Reviews indicate that the cause of the disease in most cases is a combination of several provoking factors. Only attentiveattitude to one's own he alth will help prevent pathology from developing.
Localization Features
The checker that popped out between the groin and the leg is small in size and resembles a small bean. It could be inflammation of the lymph nodes. The reasons are the first signs of prostatitis, various neoplasms (both benign and malignant), any sexually transmitted diseases, colds, the presence of parasites in the body, viruses and infections, fungus of the lower extremities.
Around the lump on the testicle of a man, the skin is red, and when pressed, there is pain? This can be caused by mechanical damage to the abdomen, the formation of wen, sarcoma, inguinal lymphogranulomatosis. The growths in this case appear on the left or right side of the scrotum or between the testicles. With this disease, one or more bumps may appear.
A bump on the right testicle in a man or on the left appears with an inguinal hernia. Pathology is caused by causes that entail a weakening of the muscles of the peritoneum. This may be a regular severe cough or improper distribution of physical activity.
If a bump appears under the testicle (closer to the anus), then this may be due to dermatological reasons. Often it is a wen, carbuncle or boil. But a painful neoplasm can be a harbinger of paraproctitis or prostatitis.
It is not recommended to self-diagnose. It is desirable that the exact disease is determinedattending doctor. If a man has a lump on his testicle, this may indicate worsening hemorrhoids and other inflammatory processes, sexually transmitted diseases, a general decrease in immunity, and so on.
Spermatocele symptoms
Spermatocele may not cause discomfort for a long time, so a man sees a doctor when the bump is already very large and painful. The disease can be defined independently. Symptoms in this case may be:
- a bump forms on the scrotum, which does not cause discomfort; when probing, a dense neoplasm without seals is determined;
- pain due to the fact that the growing cyst puts pressure on the testes and nearby organs, causing soreness;
- pain becomes intense, especially sharp when walking or intercourse, if a cyst ruptures as a result of injury or overflow.
Lymphadenitis is characterized by many symptoms, including an increase in inguinal lymph nodes. A small lump is felt, body temperature rises, pains appear in the inguinal region. Many patients report that in severe cases, pressure may ooze pus.
Hernia differs in other symptoms. Pain increases as the disease progresses. Swelling appears at the location of the bump, and if the skin around it turns red, then the hernia may have pinched.
In the event that a bump near the testicle in men is the result of developmentprostatitis or paraproctitis, a lot of unpleasant symptoms appear. The patient's temperature rises, severe pain and discomfort appear, the skin around the tumor is redder. This requires immediate expert advice.
Self-examination
Self-examination can be done at home. At home, you can put one foot on a stand about half a meter high, and then gently feel the scrotum, perineum and inguinal zone. The testicles should be felt with the middle and thumb, rubbing the skin between them. Then you should change legs and carry out the same procedure on the other side.
Diagnostic Methods
The main diagnostic procedures that are prescribed by the attending physician, if a small bump appears on the testicle of a man, are laboratory tests of feces, urine and blood, ultrasound of the genital organs, CT or MRI, taking biological material for oncology. It is also mandatory to examine the patient (palpation).
Treatment tactics
After palpation and receiving the results of the examination, the doctor can establish an accurate diagnosis. Therapy is also given. Conservative treatment involves taking antibiotics and other medications. Combined therapy has proven itself well. They use traditional synthetic drugs and folk recipes, which (according to reviews) help no worse, but each of the diseases is treated in its own way.
Spermatocele Therapy
With asymptomatic course of the disease, no special treatment is required. Expectant tactics are used, butit is necessary from time to time (the doctor will determine the regularity) to visit a specialist in order to monitor the dynamics. With an increase in the size of the scrotum, soreness, discomfort due to deformation of the surrounding tissues, an operation is necessary. As part of drug therapy, analgesics are used to relieve pain and anti-inflammatory drugs.
Testicular cyst removal is a surgical operation performed under local anesthesia. If intervention is necessary due to the appearance of a bump under the testicles in men, a small incision is made under the optical device. The cyst is removed, leaving the testicle and epididymis intact. A biopsy of the contents of the spermatocele is mandatory.
Afterward, a suspensorium is applied to the patient for two or more days to maintain the scrotum. In the reviews, patients indicate that in the first few days it is necessary to apply an ice pack to the site of the operation to prevent hematomas and eliminate swelling.
In rare cases, needle aspiration and sclerotherapy are used. Aspiration is performed by puncturing the most protruding part of the scrotum with a special needle. If necessary, the doctor uses ultrasound control. During sclerotherapy, a special solution is injected into the cavity of the spermatocele, followed by massage to evenly distribute the drug. Within a month after the procedure, the observation of a urologist is necessary.
Hernia treatment
If the bumps on the testicles in men (photo below) are caused by a hernia, then the only way to treat issurgical intervention. The operation can be postponed if the tumor is not painful, does not cause discomfort and is small in size. But if a hernia is ignored for a long time, then there is a risk of infringement (in this case, emergency intervention is indicated) and subsequent infertility.
In the absence of infringement, the doctor can still choose expectant tactics in order to accurately develop the tactics of surgical treatment during the next time. If there are contraindications to surgical intervention, a special bandage is shown to protect the hernia from infringement. Patients who belong to this group should be especially carefully treated for chronic cough and other diseases that provoke increased pressure in the peritoneum.
Lymphadenitis therapy
With pain and a lump on the testicle, men can be diagnosed with lymphadenitis. Treatment of the disease in the acute stage is conservative. Antibiotic therapy is carried out (drugs are selected based on the sensitivity of the microbes that are found in the tests), vitamin therapy, UHF. You should not ignore the intake of vitamins - this is confirmed by the reviews. Complete rest of the affected area is shown. With purulent lymphadenitis, it is necessary to open the focus according to the principles of managing purulent wounds. Additionally, in this case, detoxification and antibacterial therapy is prescribed.
Chronic lymphadenitis requires treatment of the underlying disease, which supports the inflammatory process in the lymph nodes. Specific forms of the disease are treated taking into account the underlying inflammatory process.(tuberculosis, syphilis, gonorrhea, actinomycosis, and so on). Timely treatment will help to avoid the spread of pathology.
Cancer
The most serious reason that leads to the formation of a white bump on the testicle in men is oncology. The tumor can be benign or malignant. Malignant ones are rare. Only a small percentage of young and middle-aged men have testicular cancer, and in the elderly the disease is practically not recorded, but it is still necessary to be examined to rule out the presence of a dangerous neoplasm.
When oncology patients experience severe inconvenience, burning and itching in the groin area, sometimes the mammary glands may increase due to the production of female hormones. The prognosis is favorable only if a neoplasm is detected in the early stages. Treatment involves removal of the testicle and additional radiation or chemotherapy.
Child bump
A bump in the groin area of a child requires a surgeon's consultation. Most often, an inguinal hernia or dropsy is diagnosed. If the child is less than a year old, the seal is not painful and does not increase in size, then regular monitoring is indicated. Congenital dropsy is caused by intrauterine disorders. This pathology in boys under three years old is promoted by the pathological course of the mother's pregnancy and conditions accompanied by a constant violation of intra-abdominal pressure.
Physiological dropsy, which provokes the formation of bumps on the testicles, in most cases passesindependently and does not require medical intervention. If the disturbance is caused by some other disease, then the primary disease must be treated. Tense dropsy (fluid accumulates inside, which is not removed anywhere) requires a puncture, but the risk of relapse is high. Surgical treatment is recommended according to indications at the age of one and a half to two years. This is the recommendation of doctors, the reviews of parents confirm that this is the optimal age at which the child normally tolerates the intervention.
Prevention measures
A lump on a testicle in men rarely indicates the development of a serious disease, but this does not preclude the need to see a doctor for an accurate diagnosis. Prevention of this kind of neoplasms is very simple. It is necessary to avoid injuries, hypothermia and overheating of the body, inflammation of the scrotum, and have a regular sexual life with a regular partner. It is recommended to conduct regular self-examinations and contact specialists if any seals are found.
