Do you understand the diagnostic criteria for testicular lumps?

Some male friends accidentally found a lump in their testicles and began to panic, thinking that they had an incurable disease. From a clinical point of view, there are many symptoms of testicular lumps. If there is only a lump but no pain, it may be a tumor or tuberculosis. If it is a solid lump, it is mostly caused by a tumor or inflammation. If it is cystic, it may be a cyst and effusion.

1. Whether the lump is painful or not: Generally speaking, solid lumps with pain are mostly inflammation, while those without pain may be tumors or tuberculosis. Painful lumps outside the testicles may be epididymitis. Painless lumps outside the testicles may be tuberculous epididymitis or adenomatous tumors; painful lumps in the testicles may be orchitis or testicular torsion, and painless lumps may be testicular tumors.

2. Is it solid or cystic? It is very important to distinguish the nature of the scrotal mass. Solid masses are mostly tumors or inflammations. Cystic masses are mostly cysts or effusions. Solid masses are harder, while cystic masses are softer or elastic. When a flashlight is used to shine upward on the bottom of the scrotum in a dark room, solid masses appear dark black, while cystic masses are translucent and red. If it is still difficult to distinguish, you can go to the hospital for B-ultrasound to confirm.

3. Is the scrotal mass related to the abdomen: Although the scrotum is located in the front and lower part of the pelvis, its internal structure is often connected to the abdomen. If you pinch the mass at the base of the scrotum with two fingers and the mass is completely under the fingers, it is an internal scrotal mass; if the mass is located between the fingers, it may have descended from the abdomen.

Experts remind that if necessary, you can go to the hospital for further examination to confirm the diagnosis. After the diagnosis is confirmed, inflammation can be treated with anti-inflammatory treatment, small benign lumps can be temporarily observed, and the rest require surgical treatment.