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Scrotal masses - Symptom

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.

Hydrocele

Spermatocele

Male reproductive system

Scrotal mass

Reviewed last on: 9/22/2009
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007.

Fütterer JJ, Heijmink SWTPJ, Spermon JR. Imagine the Male Reproductive Tract: Current Trends and Future Directions. Radiologic Clinics of North America. Jan 2008; 46(1).

U.S. Preventive Services Task Force. Screening for Testicular Cancer: Recommendation Statement. Rockville, MD: Agency for Healthcare Research and Quality; February 2004.

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