Men's He alth 2022

Caroço no testículo: 7 main causes (and how to treat)

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Caroço no testículo: 7 main causes (and how to treat)
Caroço no testículo: 7 main causes (and how to treat)

The lump in the testicle, also known as a lump in the testicle, is a relatively common symptom that can appear in men of any age, from children to the elderly. However, a lump is rarely a sign of a serious problem such as cancer, whether or not it is accompanied by pain or other symptoms such as swelling or a feeling of pressure.

However, in any case it is always important that the lump is evaluated by a urologist, as this is the only way to confirm whether or not it is a serious problem. And even if it's not serious, the nodule is being caused by some change that may or may not need treatment.

1. Hydrocele

A hydrocele is a small pocket of fluid that accumulates near the testicle and can lead to the appearance of a lump. This problem is more common in babies, but it can also happen in adult men, especially after age 40. Although it is not a serious problem, its size can vary a lot, and the larger ones can even lead to pain and discomfort.

How to treat: Hydrocele usually does not require any type of treatment, but if it is causing a lot of discomfort or does not regress naturally, the urologist may advise performing a minor surgery with local anesthesia to make a small cut in the scrotum and remove the hydrocele. Learn more about hydrocele and when surgery is needed.

2. Varicocele

This is the main cause of lump in the testicles and happens when the veins, which carry blood from the testicles, dilate and become wider than normal, eventually accumulating blood and generating the sensation of a lump.In these cases, it is also common to feel pain and heaviness.

How to treat: Most varicoceles are controlled with pain relievers such as Dipyrone or Paracetamol, but if there is a risk of infertility, your doctor may recommend surgery to close the vein that is dilated and make the blood pass only through the ones that are still he althy, improving the functioning of the testicle.

3. Epididymitis

Epididymitis arises when the epididymis, which is the structure that connects the testicle to the vas deferens, becomes inflamed, which usually happens due to a bacterial infection, especially in cases of unprotected sex. In addition to the sensation of a lump in the testicle, other symptoms such as pain, swelling of the testicle, fever and chills may develop.

How to treat: To treat epididymitis it is necessary to take antibiotics to fight the infection, usually with 1 injection of ceftriaxone and 10 days of use of doxycycline tablets or according to the recommendation of the urologist.



4. Testicular torsion

Testicle torsion is usually one of the easiest problems to identify in the testicle, as it causes sudden and very intense pain, as well as swelling and lump in the testicle. Sprain is more common in boys and men under the age of 25.

How to treat: Testicular torsion is a medical emergency and, therefore, surgical treatment must be performed within the first 12 hours to prevent the death of testicular tissues. Thus, in case of suspicion of sprain, it is very important to go quickly to the emergency room. Understand more about when testicle torsion can happen.

5. Epididymal cyst

This type of cyst, also known as a spermatocele, consists of a small pouch that forms in the epididymis, the place where the vas deferens attaches to the testis.In most cases, the cyst does not cause pain, but if it continues to grow over time, in addition to a lump stuck to the testicle, pain or discomfort may also arise.

How to treat: Treatment is necessary when symptoms arise, starting with the use of analgesics or anti-inflammatory drugs, such as Acetaminophen or Ibuprofen. However, if there is no improvement after 2 weeks, surgery may be required to remove the cyst. Learn more about how the surgery is performed and what recovery is like.

6. Inguinal hernia

The appearance of inguinal hernias happens when a portion of the intestine manages to pass through the muscles of the abdomen and, therefore, is more common in cases of abdominal weakness, such as in children, the elderly and people who have had surgery. This hernia can sometimes protrude into the scrotum, causing the sensation of a lump in the testicle.

How to treat: An inguinal hernia needs to be treated with surgery to replace the portion of the intestine inside the abdominal area. Learn more about how an inguinal hernia is treated.

7. Testicular cancer

Although it is one of the rarest conditions, the development of testicular cancer can also cause a small lump to grow in the testicle. Usually, cancer develops without causing any pain, so it is very important that all types of lumps are evaluated by a urologist, even if they do not cause pain. See which signs may indicate cancer.

How to treat: In almost all cases it is necessary to remove the affected testicle to prevent some cancer cells from surviving and infecting the other testicle or metastasizing to the rest of the body.

When to go to the doctor

Symptoms that indicate it is important to go to the emergency room quickly include:

  • Very intense and sudden pain;
  • Exaggerated swelling at the site;
  • Fever and chills;
  • Nausea and vomiting.

However, in any case it is always important to go to the urologist to evaluate the lump, since, even if there are no symptoms, a problem may be developing that needs treatment or is very serious, such as cancer.

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