Testicular lump

[skerr]

I have a lump in my right testicle about 1cm. I had a vasectomy about 14 years ago and I thought it was the knot I was feeling. It has now got larger. the symptoms I have is the feeling that I need to urinates. pains in my lower back (I suffer from sciatica ) a dull pain in my groin area below my waist. Its at its worst when I am sitting down for long period.

I am going for an ulrtasound, will this detemine what it is right away or will i need invesigative surgery.


Stewart

[skerr]

It is not tender if I touch it or does it caus any pain to the testicle. I just have a dull ache in my groin, feeling bloated and the feeling is like when you are recovering after being struck in the groin. I feel the need to urinate, but when I go I dont pass anything

[Fernando Roque, MD]

Hi. Is that lump in your testicle tender? The urgency to urinate, as well as the dull groin pain, may mean an infection or inflammation in the male reproductive tract (either in the testicles or the epididymis, which may account for the lump).  Going for that ultrasound is the right thing to do, as it will help differentiate a true mass from other conditions like an hernia (a condition where abdominal organs go down into the scrotal sac) or a varicocoele (a clump of dilated blood vessels).  If a solid mass is discovered, a biopsy would probably need to be done to determine if it's cancerous or not.