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Hello, I Have A Small Spot On The Top Of

Posted on Sun, 9 Aug 2020

Question: Hello, I have a small spot on the top of my right testicle that hurts if it gets touched. It feels like it might be a hard lump near where the veins connect.

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Please upload photograph

Detailed Answer:
Hello
Thanks for query.

Based on the facts that you have posted a small painful spot on Rt testicle that you have is most likely to be a Sebaceous Cyst.However the diagnosis can be confirmed only on clinical examination in person or inspection of photograph .

I shall be happy if you can post me more details to help me in making precise comments .

The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cysts due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.

Take antibiotic like Doxicycline twice daily for a week .If does not subside you will need to consult qualified General surgeon for further treatment and may need to get it excised under local anesthesia.

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (38 hours later)

It's on my testicle, not my scrotum. On the inside, it is very tender when I try to locate it. On the top of my right testicle where the veins connect there is some inflammation and that's where the pain is. The pain is the same as if I was hit in my testes.

Answered by Dr. Dr. P. T. Patil (10 hours later)

Brief Answer:
Could be Spermatocele .Need to consult qualified Surgeon or Urologist

Detailed Answer:
Hello
Thanks for follow up ,

Based on what you have described it is most likely to be what is called as Spermatocele however the precise diagnosis can be made only on clinical examination in person by a qualified General Surgeon or Urologist and doing Ultrasound Scanning of Scrotum .

Please consult General Surgeon or Urologist to establish diagnosis and further management if required .

In the mean time start taking anti inflammatory drug ike Diclofenac twice daily .

Thanks and Regards.
Dr Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar