How to treat a lump on the right testicle

Patient's question:

A lump that started growing last year

Doctor's answer:

Glands on the testicles can be either benign or malignant. Since they are not visible to the naked eye, it is impossible to draw a conclusion without examination. If the glands feel hard, one should consider conditions such as chronic epididymitis, post-epididymitis, epididymal tuberculosis, epididymal tumors, or spermatic cord tumors.
Generally, in these cases, the glands may cause mild pain when touched. If the testicles feel soft, one should consider conditions such as seminal vesicle cysts, hydrocele of the spermatic cord, or varicocele. Seminal vesicle cysts and hydrocele of the spermatic cord are rarely painful, while varicocele is easier to identify, often accompanied by pain, and the scrotum may show a worm-like cluster of dilated veins.
Regardless of whether the testicular glands are painful or not, or whether they are soft or hard, men should seek medical attention promptly for examination to determine the cause and receive appropriate treatment. At this stage, the glands are a symptom of epididymal disease, and the harm of epididymal disease is severe, directly threatening the testicular function of sperm production. Any delay may affect fertility.

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