Patient's question:
Detailed medical condition and consultation purpose: There is a lump in the upper part of my left testicle, not the testicle itself. The lump is about the same size as the testicle, not very hard. It is not very noticeable when I sleep, but it is present when I stand, especially when I am very tired, accompanied by a sense of heaviness. Also, I have been having poor sleep recently. What could be the cause? How should it be treated? What precautions should be taken?Current general condition: Worse than before
Medical history: None
Doctor's answer:
A lump can be felt on the testicle, which may be due to epididymal head enlargement or varicocele. Epididymal head enlargement is often caused by inflammation and exudation due to epididymitis, usually accompanied by pain. Varicocele, on the other hand, causes soft lumps, and prolonged standing can lead to a feeling of heaviness or fullness. You should go to the hospital for a scrotal ultrasound to clarify the issue. If it is epididymitis, anti-inflammatory and symptomatic treatment is needed. If it is varicocele, surgery is required.