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Swollen testicles
Swelling of the affected area
Enlarged testicles
The problem area has swollen
Enlarged balls
Affected area is swollen
Testicular swelling
Not seeing your symptoms? No worries!
A testicular tumor is a lump or swelling on either testicle. The tumor may be benign, which doesn't spread to other parts of the body, or malignant, commonly known as cancerous, which means it can spread to other parts of the body. Testicular cancer is usually first noted as a firm lump in the testicle. New testicular lumps always need immediate evaluation by a doctor. Pain or discomfort in the affected testicle or lower abdomen might also be present. The primary risk factor is having an undescended testicle or a family history of testicular cancer.
Your doctor may ask these questions to check for this disease:
The patient is usually referred to a urologist who orders an ultrasound of the tumor. If the ultrasound appearance looks like malignancy (cancer), specific blood tests will be drawn as well as body scans. Depending on the type and stage of the tumor, you may receive one or several treatments. In benign or earlier stages, surgery alone will be sufficient. In the later stages, chemotherapy and radiation may be recommended after surgery.
Reviewed By:
Robin Schoenthaler, MD (Oncology)
Board certified radiation oncologist with over 30 years experience treating cancer patients. Senior physician advisor for expert medical options in adult oncology. Published award-winning essayist on medical and health issues and more.
Nao Saito, MD (Urology)
After graduating from Tokyo Women's Medical University School of Medicine, Dr. Saito worked at Tokyo Women's Medical University Hospital, Toda Chuo General Hospital, Tokyo Women's Medical University Yachiyo Medical Center, and Ako Chuo Hospital before becoming Deputy Director (current position) at Takasaki Tower Clinic Department of Ophthalmology and Urology in April 2020.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Q.
Teens often wonder how to relieve testicle pain instantly safely.
A.
For quick, safe relief of testicle pain, apply a wrapped ice pack for 10–15 minutes at a time, wear snug support (jockstrap/briefs), rest, and consider OTC pain relievers; a warm sitz bath can help if muscles are tight. There are several factors to consider, and urgent symptoms like sudden severe pain, swelling/redness, nausea/vomiting, fever, blood in urine/semen, a high-riding testicle, or pain lasting hours need immediate care (torsion can be time‑critical). See below for full details on causes, prevention, when to see a doctor, and a free symptom check to guide next steps.
References:
Cass AS. (1991). The acute scrotum: diagnosis and management… Urol Clin North Am, 1783012.
https://pubmed.ncbi.nlm.nih.gov/1783012/
Kamath PS, & Wiesner RH. (2001). A model to predict survival in patients with end-stage liver disease. Hepatology, 11157951.
https://pubmed.ncbi.nlm.nih.gov/11157951/
European Association for the Study of the Liver. (2018). EASL Clinical Practice Guidelines on decompensated cirrhosis. Journal of Hepatology, 30102373.
Q.
Are blue balls real? Can they be avoided?
A.
Yes—blue balls are real (also called epididymal hypertension/pelvic congestion) and usually cause temporary aching after prolonged arousal without orgasm. They can often be avoided or relieved by moderating arousal, planning for orgasm, using distraction/relaxation, cold or warm compresses, gentle pelvic floor techniques, and OTC pain relievers. There are several important factors to consider—severe, worsening, or unusual symptoms could signal torsion, infection, or other conditions needing prompt care; see the complete guidance below to know what to watch for and the best next steps.
References:
Park JM, & Ku JH. (2018). Emerging treatment options for chronic scrotal pain: a review… Translational Andrology and Urology, 29868200.
https://pubmed.ncbi.nlm.nih.gov/29868200/
Castera L, Vergniol J, Foucher J, Le Bail B, Chanteloup É, Haaser M, Darriet M, Couzigou P, & de Lédinghen V. (2005). Prospective comparison of transient elastography, FibroTest, APRI, and liver bi… Gastroenterology, 16271676.
https://pubmed.ncbi.nlm.nih.gov/16271676/
Wai CT, Greenson JK, Fontana RJ, Kalbfleisch JD, Marrero JA, Conjeevaram HS, & Lok AS. (2003). A simple noninvasive index can predict both significant fibrosis and cirrhosis in pat… Hepatology, 12883497.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Ghoreifi A, Djaladat H. Management of Primary Testicular Tumor. Urol Clin North Am. 2019 Aug;46(3):333-339. doi: 10.1016/j.ucl.2019.04.006. PMID: 31277728.
https://www.sciencedirect.com/science/article/abs/pii/S0094014319300230?via%3DihubTesticular cancer - Urology Care Foundation
https://www.urologyhealth.org/urology-a-z/t/testicular-cancerTesticular Cancers - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/testicular-cancer-care/symptoms-causes/syc-20352986#:~:text=The%20first%20sign%20of%20testicular,other%20parts%20of%20the%20body.