Is an ultrasound not essential to detect the cause of lump in testicle?

Question

Hello doctor,

My 24-year-old son discovered a small lump in his testicle about a month ago. He saw a urologist immediately, who did a physical exam, drew some blood, and took a urine specimen. He said that the lump was located on the back of the testicle and was most likely a benign cyst. We had a follow-up today for the results of his blood work. He had a very low testosterone level and extremely low vitamin D, and an elevated estrogen level. He was placed on a vitamin D supplement and 1 mg of Anastrozole per week to block the production of estrogen and raise his testosterone. He still maintains that these issues are the cause of the lump, but we have had no ultrasound or anything that I would have expected to diagnose a problem. Should we push for a second opinion?

Answer 1

Hello,

Welcome to icliniq.com.

Relax and do not worry. Testicular lumps are very common in young people. As your urologist has examined you, there is a high chance of it being a benign cyst arising from the epididymis. But, I will suggest an ultrasound scrotum to confirm it is a cyst. So, insist on an ultrasound scrotum. A hormonal problem and a lump of the testicular cyst are two different things and are not related together. If it gets confirmed on USG that it is an epididymis cyst, then nothing is to be done until there is pain or an increase in size.