A scrotal mass is a lump or bulge that can be felt in the scrotum, the sac that contains the testicles.
Testicular mass; Scrotal growth
A scrotal mass can be noncancerous (benign) or cancerous (malignant).
Benign scrotal masses include:
Scrotal masses can be caused by:
During a physical examination, the health care provider may feel a growth in the scrotum. This growth may:
The inguinal lymph nodes in the groin may be enlarged or tender on the affected side.
The following tests may be done to help diagnose a scrotal mass:
Some men with a high risk for testicular cancer may perform monthly testicular self-examination. Any new growth in the testicle or scrotum needs to be checked by your health care provider, even if you don't perform regular self-examinations.
A health care provider should evaluate ALL scrotal masses. Hematoceles, hydroceles, and spermatoceles are usually harmless and do not need to be treated.
Sometimes the condition may improve with self-care, antibiotics, or pain relievers. Painful growths in the scrotum need IMMEDIATE medical attention.
A jock strap (scrotal support) may help relieve the pain or discomfort from the scrotal mass. A hematocele, hydrocele, or spermatocele may sometimes need 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.
Have your health care provider examine any scrotal growth as soon as possible.
Complications depend on the cause of the scrotal mass. For example, varicoceles may lead to infertility.
Call your health care provider if you find a lump or bulge in your scrotum.
You can prevent scrotal masses caused by sexually transmitted diseases (for example, epididymitis) by practicing safe sex.
To prevent scrotal masses caused by injury, wear an athletic cup during exercise.
You may perform monthly testicular self-exams if you are at increased risk for developing testicular cancer. See: Testicular self-examination
It is very important that you see a health care provider right away for any scrotal mass.
Shaw J. Diagnosis and treatment of testicular cancer. Am Fam Physician. 2008;77:469-474, 475-476.
Wampler SM, Llanes M. Common scrotal and testicular problems. Prim Care. 2010;37:613-626.
Montgomery JS, Bloom DA. The diagnosis and management of scrotal masses. Med Clin North Am. 2011;95:235-244.
U.S. Preventive Services Task Force. Screening for Testicular Cancer: U.S. Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med. 2011;154:483-486.
Schneck FX, Bellinger MF. Abnormalities of the testes and scrotum and their surgical management. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 127.