Testicular Lumps and Swellings in Birmingham
Any new lump or swelling in the scrotum or testicle should be assessed promptly by a specialist. Whilst the majority of testicular lumps are benign, testicular cancer is the most common cancer in men aged 15 to 49 and is highly curable when detected early. Mr Syed Ali Shahzad, Consultant Urological and Robotic Surgeon, provides rapid assessment of testicular lumps and swellings at private hospitals across Birmingham.
Common Causes of Testicular Lumps and Swellings
- Testicular cancer: A painless firm lump arising within the testicle itself is testicular cancer until proven otherwise and requires urgent assessment.
- Epididymal cysts / spermatoceles: Benign fluid-filled cysts arising from the epididymis. Very common and almost always benign.
- Hydrocele: A collection of fluid around the testicle causing painless swelling. See hydrocelectomy.
- Varicocele: Dilated scrotal veins causing a “bag of worms” sensation. See varicocele.
- Epididymitis: Inflammation and swelling of the epididymis, usually painful.
- Inguinal hernia: Bowel or tissue descending into the scrotum.
Assessment
All new testicular lumps are assessed with a clinical examination and scrotal ultrasound. Blood tests for tumour markers (AFP, HCG, LDH) are arranged when testicular cancer is suspected. Results are discussed in full at a follow-up consultation.
Book a Rapid Assessment
Do not delay assessment of a new testicular lump. No GP referral is required. Mr Shahzad is recognised by BUPA, AXA, AVIVA, Vitality, Cigna and WPA. Book an appointment or contact us for a prompt assessment.

