I have had lipoma on my testicles for several years

Testicular lipoma is a benign tumor that usually grows slowly and has no obvious symptoms. Lipomas are composed of mature fat cells and rarely become malignant. In most cases, no special treatment is required.

Testicular lipomas may persist for long periods of time without causing discomfort. Patients may find a painless, soft, well-defined mass in the scrotum during physical examination or incidental palpation. This type of tumor is usually related to local abnormalities in fat metabolism, and some cases have a genetic predisposition. If the tumor is small and not compressing surrounding tissue, your doctor may recommend regular observation and monitoring of changes with ultrasound. It is necessary to avoid external squeezing or severe friction on the scrotum on a daily basis to prevent the tumor from increasing in size or secondary infection.

In rare cases, testicular lipoma may affect physiological functions. When the diameter of the tumor exceeds 5 centimeters or the growth rate suddenly accelerates, it may compress the vas deferens, causing fertility problems, or cause discomfort such as bloating. In rare cases, liposarcoma may occur, which needs to be identified by enhanced CT or pathological biopsy. For patients who experience pain, affect their appearance, or are suspected of malignant transformation, surgical resection may be considered. Common surgical procedures include scrotal incision lipoma removal or minimally invasive laparoscopic surgery. The wound needs to be kept clean and dry after surgery and reviewed regularly to rule out the possibility of recurrence.

It is recommended to perform a scrotal ultrasound examination once a year to monitor tumor dynamics and avoid behaviors that continuously compress the scrotum, such as riding a bicycle for a long time. If you find that the mass has hardened texture, decreased mobility, or is accompanied by symptoms such as weight loss, you should seek medical attention promptly to investigate the possibility of malignancy. Choosing loose and breathable underwear every day to reduce local friction, eating a balanced diet and controlling weight can help reduce the risk of abnormal fat metabolism.