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Serious Question.. Lump on Testicle

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  • #61
    Ya I went to the Doc like 3 months ago. I forget what he said it was but he said it was normal and its just an enlarged thing that connects your balls to your body.

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    • #62
      Originally posted by THE BOUNCER
      Ya I went to the Doc like 3 months ago. I forget what he said it was but he said it was normal and its just an enlarged thing that connects your balls to your body.
      It's called the epididymis and one of the main reasons that causes it to become inflamed is from some type of STD. Where have you been putting that thing, B???? :eek: :rofl:









      j/k:D

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      • #63
        oh shit, you had me goin i thought the b had him something down there!!!

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        • #64
          glad to hear it was nothing. I have a vericocele - which is a clump of vericose veins in the left scrotum and the top of my left epidimis has what feels like a small knot in it. I have had the vericocele since I was 13 (now 38) and it just causes a dull ache every now and then. I have also been told this is a common occurance in up to 15% of the population and its almost always on the left and as someone said - can affect fertility. I have had 2 kids so it has not affected fertility and I just got my wife prego again after 3 cycles of gear - so that is not a worry.

          I have been checked manually by the doc every year and they told me that there was nothing to worry about and that the swelling in the epididimis can be simply a swolen epididimis or a granuloma (spermatocele) which is a benign cyst that forms when there becomes a blockage from pressure of the vericocele against the back of the epidimis. It has been there since I was 17 (over 21 years) that I know of and has never changed.

          They told me if I really wanted to not obsess over it I can get an ultrasound and it will tell me definitively. I think I am going to go get that done.

          I got a chest xray and a echo cardiogram done last week as a part of physical and it was all great and the blood work was great. so I think this is the last thing to clear out - I really dont worry too much but of course its always in the back of your mind. The heart echo convinced me - i was always worried my hear could get oversized or get valve problems from gear - and now I have complete peace of mind from finding out that the ticker is in great shape.

          here is some more information on spermatocele which is what you may have.

          A spermatocele is a benign cystic accumulation of sperm often found in the head of the epididymis that usually presents as a smooth, firm, well-circumscribed mass of the scrotum. Spermatoceles are considered in the differential diagnosis of any scrotal mass and must be differentiated from hydroceles, varicoceles, epididymal cysts, and other scrotal masses.

          Spermatoceles are typically found in the region of the epididymis, which lies on the posterior lateral border of the testis. Location can be helpful when differentiating spermatoceles from other scrotal masses, including hydroceles and varicoceles. Hydroceles refer to fluid collections that surround the entire testicle, rather than collections localized to a specific intrascrotal structure. Varicoceles are a dilated system of veins along the spermatic cord and are typically described as feeling like a “bag of worms” on physical examination. Varicoceles, unlike spermatoceles, can enlarge during times of increased abdominal pressure (eg, Valsalva maneuver). In contrast, spermatoceles do not fluctuate in size upon provocative maneuvers. Epididymal cysts are often very difficult to differentiate from spermatoceles, and definitive differentiation depends on aspiration of the cystic fluid. If sperm is present, the cystic mass is a spermatocele. If no sperm is present, the mass is probably an epididymal cyst.

          History of the Procedure: The term spermatocele is derived from the Greek spermatos (sperm) and kele (cavity or mass). Spermatoceles differ from epididymal cysts only in that they contain sperm. Spermatoceles have been recognized for over 100 years as small benign scrotal masses that affect the epididymis, although their etiology has not been completely elucidated. Today, spermatoceles are hypothesized to occur as a result of obstruction, but the etiology is poorly understood.

          Problem: A spermatocele is a cystic accumulation of sperm often found in the head of the epididymis, which usually manifests as a smooth, firm, well-circumscribed mass along the testis. Spermatoceles are exceedingly common; their prevalence increases with age, and their natural course is uniformly benign. While they may not always be painful, some discomfort with palpation of the spermatocele is not uncommon.


          Frequency: Spermatoceles are observed in 30% of asymptomatic patients undergoing scrotal ultrasound for other reasons. While it is a common condition, the precise frequency of spermatoceles in the general population has not been documented.

          Etiology: The etiology of spermatoceles is unknown; spermatoceles are thought to arise from obstruction of the epididymal ducts with subsequent proximal dilation. Spermatoceles often occur insidiously without any preceding history of trauma, infection, or other inflammatory conditions, although they certainly may occur with these conditions.

          A recently published theory suggests that senile seminiferous epithelium, which is shed throughout life, deposits and accumulates in the efferent ducts, leading to efferent duct obstruction. Further research is necessary to determine whether or not this is the true etiology of spermatoceles.


          Pathophysiology: The pathophysiology of spermatoceles is poorly understood. Spermatoceles are hypothesized to occur as a result of epididymal ductal obstruction leading to a cystic segmental dilatation of the epididymis. Very little is known about it.

          Clinical: Many men are entirely asymptomatic and notice the spermatocele incidentally on self-examination, or a physician discovers it on a routine physical examination. Spermatoceles are typically located superior and posterior to the testis in the area of the epididymis. They are frequently painless and usually less than 1 cm in diameter. Spermatoceles are round, firm, and cystic with distinct borders. They also transilluminate well, which allows this cystic fluid-filled lesion to be differentiated from more ominous solid lesions. Most spermatoceles are associated with no other anatomic or medical abnormalities. Occasionally, they may cause discomfort or become large enough to warrant intervention, which is primarily surgical. Needle aspiration of a spermatocele should not be performed because it leads to infection, spillage of very irritating sperm within the scrotum, and reaccumulation of the spermatocele.
          Last edited by clix; 12-22-04, 12:33 PM.

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          • #65
            well after reading all this - I got a testicular sonogram and it was fine. it did confirm I have 2 spermatoceles on my left one and a small hydrocele on my right one. I am glad I got it done since I ahve always wondered if that lump was something worse. as well I always freaked out every time my back was hurting at the same time gyno was acting up (sings of testicular cancer). now I know what I thought all along - that they were unrelated - but I dont have to worry about it any more.

            I definately recommend getting tested if you ahve any doubts - the sleepless nights are not worth it.

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            • #66
              Bumpy ballz

              I am not scientist, but I have a similar problem, I noticed today, hence I came looking for "bump on my nutz" information. I will go get it checked out as soon as possible. I would like to mention that i think it could be directly related to the position I sit in. I usually rest my left leg over my right leg. I noticed it in my right testicle. So, you should ask yourself how you sit. Especially, if you sit in the same position for long periods of time. It is also worth considering that if you change that habit. It might be possible for it to go away on its own. I will get checked for cancer, but I will give it a little time if it is not cancer or serious, before I have a doctor cut part of my nutsack off. Needless to say, I will stop sitting in a position that is constantly crushing my crown jewels.
              Last edited by jwize; 01-18-06, 10:48 AM.

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              • #67
                Originally posted by jwize
                I am not scientist, but I have a similar problem, I noticed today, hence I came looking for "bump on my nutz" information. I will go get it checked out as soon as possible. I would like to mention that i think it could be directly related to the position I sit in. I usually rest my left leg over my right leg. I noticed it in my right testicle. So, you should ask yourself how you sit. Especially, if you sit in the same position for long periods of time. It is also worth considering that if you change that habit. It might be possible for it to go away on its own. I will get checked for cancer, but I will give it a little time if it is not cancer or serious, before I have a doctor cut part of my nutsack off. Needless to say, I will stop sitting in a position that is constantly crushing my crown jewels.
                dosent hurt to go get it checked out at the doc. put your mind at ease.

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                • #68
                  Definitely get it checked out pronto. Tumors do not HAVE to constantly grow. They can go through periods where they don't grow.

                  The good news is that if it IS testicular cancer, the prognosis is generally very good for a full recovery. Testicular cancer is one of the easiest types of cancer to treat and most men go on to lead full life spans.

                  Of course, the earlier it is caught, the better the prognosis.

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                  • #69
                    Early detection is key in beating cancer. I've had a few melanoma's and I waited on one almost too long. Don't be ashamed to have yourself checked out, it is YOUR LIFE!

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                    • #70
                      Just to add some info:

                      Guys, you should be testing yourself every month for testicular cancer. Do it after you get out of a warm shower on the same day every month. And if you even feel the slightest little bump get it checked out by the doc. Don't wait, because like Puddles said detection is key to beating it.

                      from,
                      Nurse AP :D

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                      • #71
                        Originally posted by AsianPersuasian
                        Just to add some info:

                        Guys, you should be testing yourself every month for testicular cancer. Do it after you get out of a warm shower on the same day every month. And if you even feel the slightest little bump get it checked out by the doc. Don't wait, because like Puddles said detection is key to beating it.

                        from,
                        Nurse AP :D
                        i knew you would be along in a post about my nuts. :dancingne

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                        • #72
                          Bouncer, I care about everybody's nuts...lol :laughnew:

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                          • #73
                            I would like to see a full size pic of your avatar. Thank you.

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                            • #74
                              Sorry Shib, that's it for now. :kiss:

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                              • #75
                                AP... You and Bigred are slacking cuz i havent seen any new pics like that in awhile either.

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