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Alternative names Return to top
Hematocele; SpermatoceleDefinition Return to top
A scrotal mass is a lump or bulge that can be felt in the scrotum, the sac that contains the testicles.Causes, incidence, and risk factors Return to top
A scrotal mass can be benign (generally harmless) or malignant (cancerous). Benign scrotal masses include:
Scrotal masses can be caused by inflammatory or infectious diseases (for example, epididymitis), physical injury to the scrotum, herniation (inguinal hernia), or tumors.
See also:
Symptoms Return to top
Signs and tests Return to top
During a physical examination, the doctor may feel a mass within the scrotum that has a variety of possible features:The inguinal lymph nodes in the groin may (or may not) be enlarged or tender on the affected side.
The following tests may be performed to help diagnose a scrotal mass:
To discover any lumps as early as possible, all men should perform testicular self examination each month.
Treatment Return to top
ALL scrotal masses need to be evaluated by a primary health care provider. Hematoceles, hydroceles, and spermatoceles are usually benign and do not require treatment. Sudden, temporary conditions may respond to local comfort measures and, in some situations, antibiotics or pain relievers.
A scrotal support (jock strap) may provide some relief of the pain or discomfort associated with the scrotal mass. A hematocele, hydrocele, or spermatocele may occasionally require surgery to remove the collection of blood, fluid, or dead cells.
Expectations (prognosis) Return to top
The majority of conditions that cause scrotal masses are either of no consequence or can be easily treated. Even testicular cancer has a high cure rate with early diagnosis and treatment. Nevertheless, any scrotal mass must be evaluated promptly by a qualified physician. Any delay in diagnosing cancer can reduce the ability to cure it.Complications Return to top
Calling your health care provider Return to top
Call your health care provider if you find any kind of lump or bulge within your scrotum.Prevention Return to top
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Page last updated: 28 October 2004 |