Testicular Swelling: Symptoms, Complaints, Signs

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).