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Alternative Names Return to topHematocele; Spermatocele
Definition 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 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.
Symptoms Return to top
Exams and Tests Return to top
During a physical examination, the doctor may feel a mass within the scrotum and make note of its 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 should be evaluated by a primary health care provider. Hematoceles, hydroceles, and spermatoceles are usually harmless 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.
Outlook (Prognosis) Return to top
Most conditions that cause scrotal masses can be easily treated. Even testicular cancer has a high cure rate with early diagnosis and treatment. Nevertheless, any scrotal mass should be examined promptly by a qualified doctor.
Possible Complications Return to top
Complications depend on the underlying reason for the scrotal mass. For example, varicoceles may lead to infertility.
When to Contact a Medical Professional Return to top
Call your health care provider if you find any kind of lump or bulge within your scrotum.
Prevention Return to top
Scrotal masses linked to sexually transmitted diseases (for example, epididymitis) may be prevented by practicing safe sex.
Scrotal masses resulting from injury may be prevented by wearing an athletic cup during exercise.
Monthly testicular self-examination can catch testicular cancer early, and improve the chances of curing it. All men 15 years or older should learn how to perform testicular self-examination.
References Return to top
Wein AJ. Campbell-Walsh Urology. 9th ed. St. Louis, Mo: WB Saunders; 2007.
Grainger RC, Allison D, Adam, Dixon AK. Diagnostic Radiology: A Textbook of Medical Imaging. 4th ed. Orlando, Fl: Churchill Livingstone; 2001.Update Date: 7/23/2007 Updated by: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.