Saturday, February, 11, 2012

Scrotal masses

Table of Contents

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.



Review Date: 09/22/2009
Reviewed By: 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.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)