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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.
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.
Complications depend on the underlying reason for the scrotal mass. For example, varicoceles may lead to infertility.
Call your health care provider if you find any kind of lump or bulge within your scrotum.
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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