The following symptoms and complaints may occur together with testicular swelling:
Leading symptom
- Testicular swelling
Associated symptoms
- Pressure sensitivity
- Pain
- Enlarged lymph nodes in the groin region
Caveat (Attention)!
- If acute swelling of the testicles occurs with or without pain in the scrotum, often radiating to the groin, an immediate presentation to theUrologist is urgent!
- If testicular torsion is suspected, the patient is considered a urological emergency!
- A seminoma may feel like a large “normal” testicle; if the patient indicates a change in the testicle, a medical evaluation is required.
Warning signs (red flags)
- Anamnestic information:
- Infant → think of: Hernia (tissue hernia) or hydrocele (water hernia).
- Elderly patient + bilateral swelling → think of: Systemic disease, most likely decompensated heart failure (heart failure).
- Large left supraclavicular lymph nodes (Virchow lymph nodes) → think: malignant (malignant) neoplasms of the abdomen (abdominal organs) and thorax (chest organs).