Cancers
Testicular lumps and testicular cancer, evaluated promptly in clinic
A lump in the testis, a change in size, or a heavy feeling on one side should be examined. Our urologists in Johns Creek and Cumming will examine you, order ultrasound when it is needed, and, if cancer is a concern, talk through the next steps we actually take, including surgery at the Johns Creek surgery center when that is the plan.
When to book, and how quickly
A new lump is a reason to call us at 678-344-8900 and ask for the earliest opening we can set. It is clinic work if you are otherwise well, but it should not wait for a routine annual visit. Severe pain, sudden swelling, or symptoms of a serious infection belong in an emergency department.
How we evaluate a lump
The visit is an exam and, often, a scrotal ultrasound. Blood tests used in testicular cancer work-ups are ordered when they would change the plan. If the findings point toward cancer, we talk about removal of the affected testis — orchiectomy — and about staging studies that follow. We will say what we can do at these offices and what belongs in a closer partnership with other cancer specialists.
After a diagnosis
Surgery, surveillance, and any further treatment are planned from the pathology and the staging, not from a single exam. Follow-up is part of the same conversation. Our urologic cancers overview and the care team page will help you see who you may meet.
A related official video on testicular cancer awareness
An official Advanced Urology video on this topic.
Watch: #015 - April is Testicular Cancer Awareness Month – Know the Signs, Get Checked, Stay HealthyWhat the video covers. Titled "#015 - April is Testicular Cancer Awareness Month – Know the Signs, Get Checked, Stay Healthy." The public description says a board-certified urologist from Advanced Urology of Georgia walks through the basics of testicular cancer during Testicular Cancer Awareness Month, and notes it as a form of cancer affecting young men.
Is every testicular lump cancer?
No. Cysts and other benign findings are common. A lump still deserves an exam and, often, an ultrasound, because the way to know is to look.
Can I be seen in Cumming or Johns Creek?
Either office can start the evaluation. If surgery is recommended, we schedule it at Johns Creek unless your case belongs in a hospital.
Will I need both testes removed?
When surgery is recommended for a tumor, it is usually the affected testis. We will be specific about your case when we have the imaging and the exam.
What should I bring?
A government photo ID, the insurance card you use, and any ultrasound or emergency-department records already in your possession. The packing-list page on this site has the rest.
Is this an emergency if I am otherwise well?
A new lump should be seen soon in clinic. Sudden severe pain or swelling should be evaluated in an emergency department the same day.
Who will I see?
A urologist at the office you book, with physician assistants as part of the same team. You can request a named physician when you call.
Whenever a visit would help, the Johns Creek and Cumming teams are a phone call or a booked appointment away.