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What Causes Pain And Discomfort In The Groin Area?

Posted on Wed, 31 May 2017

Question: I have had very mild groin discomfort for a few days on and off during the past 3-4 weeks. This morning while feeling my left testicle I noticed a small grape size lump attached to the lower under side of my left testicle. I don't know how long it has been there. At this point (past few weeks) I have just had very mild discomfort on occasional days in the groin area. Rubbing the testicle (left) is just a little tender. No other symptoms. I am 67 years old in excellent health, run and work out. I do have a enlarge prostrate . All procedures on prostrate clear of cancer. Just really concerned about the discovered lump I found this morning.

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
Respected xxxxxx,hi benign lesion epididymal cyst/sebaceous cyst

Detailed Answer:
Respected xxxxxxx, hi I evaluated your query thoroughly
* Lump felt under side of left testicle is benign lesion may be epididymal cyst
(if internal ) / sebaceous cyst ( if external ) .Ultrasound of that part is
confirmatory .
* Kindly give me further details regarding your case for more focus over the
issue & guide more precisely
1. lump is above skin surface or underneath
2. groin discomfort same side , swelling over groin
3. consistency of lump - smooth / hard , movable / attached to deep tissue
4. any notice of change in size of left testicle
5. overlying skin changes - color / temperature difference , black punctum type
material in center
6. any systemic problem suffering
7. history of trauma / friction or injury while shaving
8. any other information if you want to share
9. clinical photograph ( if no objection ) of the lump if seen above skin.
Thanks for using Health care magic & giving me an opportunity to assist you.
Awaiting for your details.
Regards dear take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (45 minutes later)

Hey Dr. XXXXXXX …
Here are the answers to the questions you asked … I await your further reply.
1-Lump is underneath surface
2-Groin has mild discomfort over the same side … seems to be very slight swelling over groin and or in testicle
3-Lump seems smooth and attached to the lower end of testicle or the attaching tissue to the testicle
4-No notice in change in size of left testicle, just notice lump this morning … may have been there longer or just came up recently
5-No overlying skin changes in color/temp, etc.
6-No systemic problem suffering
7-Not aware of any trauma history or friction or injury while shaving
8-I do seem to have on days with very mild discomfort a more frequent urination and little pressure down there. It is not a continuing discomfort. I am a runner and I ran 2.5 miles yesterday evening with no discomfort.
9-I don’t think the lump is visible … seems to be the size of a small grape

Answered by Dr. Bhagyesh V. Patel (12 minutes later)

Brief Answer:
Respected xxxxxxx,hi Epididymal cyst of testis, requires Ultrasound.

Detailed Answer:
Respected xxxxxxxxx, hi thanks for all details .
* This goes in favour of Epididymal cyst of testis .
* Kindly get a Doppler Ultrasonography of the testis at convinience to confirm
the diagnosis .
* This is absolutely benign condition, nothing to worry at all .
- no medical treatment required at present , except only if there is pain can take
analgesic .
Hope this clears your query.
Welcome for any further assistance or else rate the answer accordingly & close
the discussion.
Wishing you a happy healthy life ahead.
Regards.

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Above answer was peer-reviewed by : Dr. Prasad