What else can feel like a lump in the testicle?
The epididymis can be confused with a lump in the testicle. The epididymis is a C-shaped structure that is attached to the posterior lateral surface of the testicle. Sperm travel from the testicle through eight feet of tiny tubules located within the epididymis. If the epididymis becomes inflamed or infected -a condition called epididymitis – it becomes swollen and tender. Epididymitis is treated with antibiotics, cold therapy, scrotal support, and anti-inflammatory medication. An epididymal cyst or a spermatocele can also feel like a lump in the testicle. These cystic structures are found in 30% of men undergoing scrotal ultrasound and the incidence increases with age. Both types of cysts contain fluid. Spermatoceles may also contain sperm. Epididymal cysts and spermatoceles are often associated with a prior history of vasectomy. A physical examination is usually all that is required to diagnose these two conditions. If there is any doubt, a scrotal ultrasound can reliably differentia
