Kidney pain is typically felt in your back, under the ribcage, on either side of your spine. It's often described as a dull, one-sided ache that can spread to your sides, upper abdomen, or groin area. Unlike back pain, kidney pain tends to be deeper and higher in your back, just under your ribs.

Be aware of the following signs and symptoms:

1. A lump or swelling in either testicle
2. A feeling of heaviness in the scrotum
3. Dull ache in the lower abdomen or groin
4. Sudden swelling of the scrotum
5. Pain or discomfort in a testicle or the scrotum
6. Change in the size or shape of a testicle
7. Enlargement or tenderness of breast tissue

If you experience any of these symptoms, especially if they persist for more than two weeks, it's important to consult me.

When you visit a doctor for testicular concerns, you can anticipate the following:

1. Medical history review: I will ask detailed questions about your symptoms, their duration, and any relevant medical history.
2. Physical examination: This will include a thorough examination of your testicles and scrotum. The doctor may perform a transillumination test, shining a strong light through the scrotum to differentiate between solid masses and fluid-filled cysts.
3. Testicular self-examination instruction: I may teach you how to perform regular self-exams.
4. Additional tests: Depending on the findings, I may order:
• Ultrasound scan of the scrotum
• Blood tests to check for tumor markers
• Urine analysis

During your appointment, I may discuss several possible conditions, including:

1. Testicular cancer: While rare, it's the most serious potential diagnosis. Early detection is crucial for successful treatment.
2. Varicocele: Enlarged veins in the scrotum, often described as feeling like a "bag of worms".
3. Hydrocele: A buildup of fluid around one or both testicles, usually painless but can cause swelling.
4. Epididymitis: Inflammation of the epididymis, often causing pain and swelling.
5. Orchitis: Inflammation of one or both testicles, usually caused by infection.
6. Spermatocele: A fluid-filled cyst in the epididymis.
7. Testicular torsion: A twisted testicle cutting off blood supply, which is a medical emergency requiring immediate attention.
8. Inguinal hernia: Part of the intestine protruding into the scrotum.

Remember, many testicular abnormalities are benign and treatable. However, early detection and prompt medical evaluation are key to ensuring the best possible outcomes. Don't hesitate to consult me if you notice any unusual changes in your testicles or scrotum. Regular self-examinations can help you become familiar with the normal look and feel of your testicles, making it easier to detect any changes early. If you're unsure how to perform a self-exam, ask me for guidance during your appointment. By staying vigilant and seeking timely medical attention, you can take an active role in maintaining your testicular health and overall well-being.