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Testicular granuloma
The presence of an unusual hard structure inside the scrotum is alarming. If this structure is small (the size of lens or grain), present behind the testis and is painful on pressure, then it is most probably a non harmful structure. It is by experience a collection of compact cells in the area. This results as a last stage of inflammation or due to a spermatocele.

The microscopic examination of most of these lesions showed the so called granuloma. It is a collection of cells due to a residing inflammation. This should be considered true only when the lesion is removed and examined by the pathologist to exclude cancer.  



G = granuloma (cell accumulation)
T = testis / epididymis E =
Vd = spermatic cord


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Who qualifies for the operation?

Patients who have discovered he lesion accidentally or their doctor have discovered it during a routine examination. The removal of the lesion is then indicated if it enlarges, painful or suspect.

Who does the operation works?

This operation can be done under local anaesthesia. The scrotum is opened through a small  incision. The testis is prepared free. The lesion is identified at the area of the epidedymis and it is removed carefully. The testis is returned to the scrotum and the wound is closed in layers.



Incision



Frequently asked questions (FAQ):
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  1. I have an abnormal enlargement which is accidentally detected. Is it cancer?
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    No, this small hard lump which is present behind the testis  is most probably a collection of compact cells and it is called epidedymal granuloma. It is not cancer. It appears as a solidstructure in ultrasonography.
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  2. Does it interfere with sexual intercourse?
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    No, it does not at all.
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  3. Does it affect my ability to have children?
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    No, epidedymal granuloma does not affect fertility
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  4. Should it be removed?
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    No, the indication to remove it is when it enlarges, become infected, causes pain or to exclude cancer.
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  5. Is it true that I must remove it as early as possible to avoid becoming infertile?
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    No, on the contrary, the removal of epidedymal granulom must be done only under strict indications. Its removal at the fertile age may itself affect fertility except when indicated.