Causes, incidence, and risk factors:
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.
Signs and tests:
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.
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.
Calling your health care provider:
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