A lump should be checked soon
Testicular cancer and scrotal lumps
Finding a lump or swelling in a testicle is frightening, and it is something to have checked soon rather than wait on. Our urologists can examine you, arrange an ultrasound and blood tests, and explain the results in person.
What is testicular cancer?
Testicular cancer starts in the cells of a testicle. It often shows up as a lump that does not hurt, and finding it early gives the widest range of treatment choices.
What are the signs of testicular cancer?
Watch for a lump or swelling in a testicle, a feeling of heaviness in the scrotum, a change in size or shape, or a dull ache in the lower belly or groin. Less often, fluid around the testicle or breast tenderness can occur.
How is a scrotal lump evaluated?
Evaluation starts with an exam, then a scrotal ultrasound and blood tests for tumor markers (AFP, hCG and LDH). Advanced Urology has ultrasound and laboratory testing on site, so the work-up can move quickly.
How is testicular cancer treated?
Surgery to remove the affected testicle, called radical orchiectomy, is the usual first treatment. Depending on the type and stage, further care can include close monitoring with scheduled imaging, chemotherapy, radiation, or removal of lymph nodes in the abdomen (RPLND), which can be done open or robotically.
Can a testicle be replaced after surgery?
Yes, a testicular prosthesis is an option for many men. Our urologists can talk it through with you before the operation, so you can decide in advance.
What is recovery like after an orchiectomy?
After surgery you spend a short time in recovery, and someone will need to drive you home. Full recovery typically takes several weeks; your urologist gives you written instructions, and follow-up blood tests and imaging continue for some time to watch for any return.
Is there a video about testicular cancer?
Yes. This short video is from the official Advanced Urology channel.
Watch: #021 - FDG PET / CT for Kidney, Bladder and Testicular Cancers What the video covers: A podcast episode explaining the FDG PET/CT scan and how it helps with urologic cancers other than prostate cancer, such as bladder, kidney and testicular cancer.
Which of our urologists see patients for this?
These urologists list it on their Advanced Urology profiles and see patients in Snellville or Conyers.
- A. Dev Mally, MD · Snellville
- Moshe Shapiro, MD · Snellville
- Marc Greenstein, DO · Conyers
Which articles go deeper on this?
Short answers from Advanced Urology on the questions we hear most.
What do people ask us about testicular cancer?
Does a lump have to hurt to be serious?
No. Testicular cancer often causes a lump that does not hurt, so any new lump should be checked.
Should I do self-exams?
Regular self-exams help you notice changes early. Call us if you find something new.
Do I need follow-up after treatment?
Yes. Blood tests and imaging continue for a period after treatment to watch for any return.
What tests check for testicular cancer?
A scrotal ultrasound and blood tests for tumor markers, which Advanced Urology can do on site.
What if my testicle is swollen but not lumpy?
Swelling has many causes, including fluid or infection. It still deserves an exam.
When is testicle pain an emergency?
Sudden, severe pain can be torsion, which needs emergency care right away.
More from Advanced Urology: Testicular cancer · Orchiectomy
Related care: Low testosterone · Prostate cancer · Vasectomy · All care
Where we see you: Snellville office and surgery center · Conyers clinic · What to bring and insurance
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