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 and is not very hard. It is not very noticeable when I am sleeping, but it is present when I am standing, especially when I am very tired, and there is a sensation of heaviness. Also, I have been having poor sleep recently. What is the possible diagnosis? How should it be treated? What should I pay attention to?Current general condition: More severe than before
Medical history: None
Doctor's answer:
A mass can be felt on the testicle, which may be due to an enlarged epididymal head or varicocele. An enlarged epididymal head is often caused by inflammatory exudation due to epididymitis, and it is usually accompanied by pain. In contrast, the mass caused by varicocele is soft and prone to a sense of heaviness or fullness after prolonged standing. You need to go to the hospital for a scrotal ultrasound to clarify the issue. If it is epididymitis, anti-inflammatory and symptomatic treatment is required. If it is varicocele, surgery is necessary.