SOLID lesion found on testicular ultrasound?

Question

My husband is 34 yrs old & had a testicular ultrasound after seeing our PP because of pain he began feeling. On physical exam he found a lump & put him on Cipro but sent him for an u/s just to be safe. He sees a urologist on Tuesday because of the findings on u/s. Here is what the u/s report reads:

Findings: There is bilateral testicular flow. The testicles are slightly inhomogeneous in appearance. No focal mass lesion is seen in the testicle. In the right lower scrotum there is an area of masslike density which on ultrasound exam appears to be separate from the testicle. This measures approximately 1 cm in diameter and reportedly is the area of palpable abnormality as demonstrated by the patient. This is a solid lesion of uncertain etiology. It does not appear to be within the right testicle but is in the right scrotal area. There are changes on the left suggesting a left varcocele.

Summary:

1. 1 cm mass lower medial right scrotum
2. Left testicular varcocele
3. Mild inhomogeneity of testicles without focal mass

What are the possibilites of a solid lesion in the scrotum? The u/s tech said it's on the wall of the testicle. What can this be since it's not infections and what can we expect at this appointment-what ?'s should we ask? No tumor markers checked-CBC showed AST was high at 51 (range 0-40) and uric acid high at 8.5 (2.4-8.2)…he does suffer w/gout.

Answer 1

I fully understand your concern, but people on this site are NOT qualified, trained, or licensed to give you medical advice. Wait for the visit to the urologist who will tell you all you need to know. In the meantime, try not to worry too much. It may be a minor condition which can be easily fixed. Good luck.

Chow!!

Answer 2

What are you worried about? The ultrasound or the results? The room will be cold. Your penis will get as small as it can and your scrotum will tighten up. The ultrasound tech will have you raise your hospital gown up for access. They will ask you to hold your penis out of the way or they will tape it out of the way. The tech will put some goop on the sensor and start rubbing it (non sexually) around your scrotum. You won't get an erection and if you do, it happens, it will be covered by your gown. No worries mate, we've seen it all! You'll clean yourself up and go home. Don't ask the tech for the results; the MD has to give you the news. You'll hear from the MD after a radiologist or urologist interprets the findings. You'll receive a clean bill of health or something unimportant or you'll be in for a removal of a testicle. Ultimately you will be fine.