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Scrotal masses

• Overview
• Symptoms
• Treatment
• Prevention

Alternative Names:

Hematocele; Spermatocele

Symptoms:

• Painless or painful bulge or lump within the scrotum ( testicle lump )
• Infertility
• Enlarged scrotum

Signs and tests:

During a physical examination, the doctor may feel a mass within the scrotum and make note of its features:

• Tender or non-tender
• Uniform, smooth, twisted, or irregular
• Fluctuant (feels liquid), firm, or solid
• Typically only on one side

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:

• Ultrasound of the scrotum
• Biopsy on masses that are surgically removed

To discover any lumps as early as possible, all men should perform testicular self-examination each month.

References:

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.

• Review Date: 7/23/2007
• Reviewed By: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

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