St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Scrotal masses

    Testicular mass; Scrotal growth

    A scrotal mass is a lump or bulge that can be felt in the scrotum, the sac that contains the testicles.

    Causes

    A scrotal mass can be noncancerous (benign) or cancerous (malignant).

    Benign scrotal masses include:

    • Hematocele -- blood collection in the scrotum
    • Hydrocele -- fluid collection in the scrotum
    • Spermatocele -- a cyst-like growth in the scrotum that contains fluid and dead sperm cells
    • Varicocele -- a varicose vein along the spermatic cord

    Scrotal masses can be caused by:

    • Abnormal bulge in the groin (inguinal hernia)
    • Diseases such as epididymitis
    • Injury to the scrotum
    • Testicular torsion
    • Tumors

    Symptoms

    • Enlarged scrotum
    • Painless or painful testicle lump

    Exams and Tests

    During a physical exam, the health care provider may feel a growth in the scrotum. This growth may:

    • Feel tender
    • Be smooth, twisted, or irregular
    • Feel liquid, firm, or solid
    • Be only on one side of the body

    The inguinal lymph nodes in the groin on the same side as the growth may be enlarged or tender.

    The following tests may be done:

    • Biopsy
    • Ultrasound of the scrotum

    Treatment

    A health care provider should evaluate all scrotal masses. However, many types of masses are harmless and do not need to be treated unless you are having symptoms.

    In some cases, the condition may improve with self-care, antibiotics, or pain relievers. You need to get medical attention right away for a growth in the scrotum that is painful.

    If the scrotal mass is part of the testicle, it has a higher risk of being cancerous. Surgery may be needed to remove the testicle if this is the case.

    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.

    Outlook (Prognosis)

    Most conditions that cause scrotal masses can be easily treated. Even testicular cancer has a high cure rate if found and treated early.

    Have your health care provider examine any scrotal growth as soon as possible.

    Possible Complications

    Complications depend on the cause of the scrotal mass.

    When to Contact a Medical Professional

    Call your health care provider if you find a lump or bulge in your scrotum. Any new growth in the testicle or scrotum needs to be checked by your health care provider to determine if it may be testicular cancer.

    Prevention

    You can prevent scrotal masses caused by sexually transmitted diseases by practicing safe sex.

    To prevent scrotal masses caused by injury, wear an athletic cup during exercise.

    References

    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.

    Barthold JS. Abnormalities of the testes and scrotum and their surgical management. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 132.

    BACK TO TOP

    • Hydrocele

      illustration

    • Spermatocele

      illustration

    • Male reproductive system

      illustration

    • Scrotal mass

      illustration

      • Hydrocele

        illustration

      • Spermatocele

        illustration

      • Male reproductive system

        illustration

      • Scrotal mass

        illustration

      Tests for Scrotal masses

        Review Date: 10/2/2013

        Reviewed By: Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

        The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
        adam.com

        A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


        Back  |  Top
        About Us
        Contact Us
        History
        Mission
        Locations & Directions
        Quality Reports
        Annual Reports
        Honors & Awards
        Community Health Needs
        Assessment

        Newsroom
        Services
        Brain & Spine
        Cancer
        Heart
        Maternity
        Orthopedics
        Pulmonary
        Sleep Medicine
        Urgent Care
        Women's Services
        All Services
        Patients & Visitors
        Locations & Directions
        Find a Physician
        Tour St. Luke's
        Patient & Visitor Information
        Contact Us
        Payment Options
        Financial Assistance
        Send a Card
        Mammogram Appointments
        Health Tools
        My Personal Health
        mystlukes
        Spirit of Women
        Health Information & Tools
        Clinical Trials
        Health Risk Assessments
        Employer Programs -
        Passport to Wellness

        Classes & Events
        Classes & Events
        Spirit of Women
        Donate & Volunteer
        Giving Opportunities
        Volunteer
        Physicians & Employees
        For Physicians
        Remote Access
        Medical Residency Information
        Pharmacy Residency Information
        Physician CPOE Training
        Careers
        Careers
        St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
        Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile