There is a mass on the left testicle

In daily life, men will neglect their physical health due to long-term work and busy life, and not paying attention to hygiene will easily cause some genital diseases. The appearance of a mass on the left testicle is not common for many people. This may be a manifestation of a disease, which may be a symptom caused by varicose veins of the testicle or epididymitis, and requires detailed examination and treatment.

What is this mass on the left testicle?

A mass on the left testicle may be due to varicocele or epididymitis, a disease caused by orchitis. You need to go to a regular hospital for detailed examination and targeted treatment.

Clinical manifestations of epididymitis

Clinically, it is divided into two categories: acute epididymitis and chronic epididymitis.

1. Acute epididymitis

Sudden high fever, increased white blood cell count, swelling and heaviness of the scrotum on the affected side, pulling pain in the lower abdomen and groin, which worsens when standing or walking. The epididymis on the affected side is enlarged and there is obvious tenderness. When the inflammation is large, both the epididymis and testicle are swollen, and the boundary between the two is unclear, which is called epididymal orchitis. The spermatic cord on the affected side is thickened and there is also tenderness. Generally, acute symptoms can gradually subside after one week.

2. Chronic epididymitis

Chronic epididymitis is more common. Some patients become chronic because the acute phase is not completely cured, but most patients do not have a clear acute phase. Inflammation often occurs secondary to chronic prostatitis or injury. Patients often feel dull pain in the scrotum on the affected side, with a sense of bloating. The pain often extends to the lower abdomen and the ipsilateral inguinal groove, and sometimes may be accompanied by secondary hydrocele. During examination, the epididymis often enlarges and hardens to varying degrees. There is mild tenderness, and the ipsilateral vas deferens may be thickened.

Check

1. Laboratory inspection

The peripheral blood leukocyte count can reach (2-3)×109/L. Urinary secretions can be examined by staining or non-staining. Urinalysis is also an important examination method.

2. Ultrasound examination

The extent of swelling and inflammation of the epididymis and testicles can be shown.

3. Magnetic resonance imaging

Epididymitis may be diffuse or focal, and the epididymal signal on T2-weighted images may be the same as or higher than the testicular signal.

Differential diagnosis

1. Testicular tumor

There is no pain, the lump is easy to distinguish from normal testicles, routine examinations of prostatic fluid and urine are normal, and tissue pathology examination can be performed if necessary.

2. Spermatic cord torsion

It is common in children. In the early stage of torsion, the testicle is lifted up and there is a clear boundary with the epididymis. In the later stage of torsion, the boundary may be unclear. If the testicle is gently pushed up, it will hurt, indicating spermatic cord torsion.

3. Epididymal tuberculosis

Early lesions are limited to the tail of the epididymis, and eventually involve the entire epididymis. The disease usually develops slowly and is painless, with beaded changes in the vas deferens.