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</div><div><span>Scrotal masses</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Scrotal masses</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>A scrotal mass is a lump or bulge that can be felt in the scrotum. The scrotum is the sac that contains the testicles.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>A scrotal mass can be noncancerous (benign) or cancerous (malignant).</p><p>Benign scrotal masses include:</p><ul><li>Hematocele -- blood collection in the scrotum</li><li><a test="test" href="./000518.htm">Hydrocele</a> -- fluid collection in the scrotum</li><li>Spermatocele -- a cyst-like growth in the scrotum that contains fluid and sperm cells</li><li><a test="test" href="./001284.htm">Varicocele</a> -- a varicose vein along the spermatic cord</li><li>Epididymal cyst -- a swelling in the duct behind the testes that transports sperm</li><li>Scrotal abscess -- a collection of pus within the wall of the scrotum </li></ul><p>Scrotal masses can be caused by:</p><ul><li>Abnormal bulge in the groin (<a test="test" href="./000960.htm">inguinal hernia</a>)</li><li>Diseases such as <a test="test" href="./001279.htm">epididymitis</a> or orchitis</li><li>Injury to the scrotum</li><li><a test="test" href="./000517.htm">Testicular torsion</a></li><li><a test="test" href="./001288.htm">Testicular cancer</a></li><li>Infections </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms include:</p><ul><li>Enlarged scrotum</li><li>Painless or painful <a test="test" href="./003162.htm">testicle lump</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>During a physical exam, your health care provider may feel a growth in the scrotum. This growth may:</p><ul><li>Feel tender</li><li>Be smooth, twisted, or irregular</li><li>Feel liquid, firm, or solid</li><li>Be only on one side of the body </li></ul><p>The inguinal lymph nodes in the groin on the same side as the growth may be enlarged or tender.</p><p>The following tests may be done:</p><div><ul><li><div><a test="test" href="./003416.htm">Biopsy</a></div></li><li>Urine culture</li><li><a test="test" href="./003336.htm">Ultrasound</a> of the scrotum</li></ul></div></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>A 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.</p><p>In some cases, the condition may improve with <a test="test" href="./003160.htm">self-care</a>, antibiotics, or pain relievers. You need to get medical attention right away for a growth in the scrotum that is painful.</p><p>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. </p><p>A jock strap or scrotal support may help relieve the pain or discomfort from the scrotal mass. A hematocele, hydrocele, spermatocele, or scrotal abscess may sometimes need surgery to remove the collection of blood, fluid, pus or dead cells.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Most conditions that cause scrotal masses can be easily treated. Even testicular cancer has a high cure rate if found and treated early. </p><p>Have your provider examine any scrotal growth as soon as possible.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Complications depend on the cause of the scrotal mass.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your 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 provider to determine if it may be testicular cancer.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>You can prevent scrotal masses caused by sexually transmitted diseases by practicing safe sex.</p><p>To prevent scrotal masses caused by injury, wear an athletic cup during exercise.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Testicular mass; Scrotal growth</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19667t.jpg" alt="Hydrocele" title="Hydrocele" class="side-img"/><a href="../imagepages/19667.htm">Hydrocele</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19692t.jpg" alt="Spermatocele" title="Spermatocele" class="side-img"/><a href="../imagepages/19692.htm">Spermatocele</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9658t.jpg" alt="Male reproductive system" title="Male reproductive system" class="side-img"/><a href="../imagepages/9658.htm">Male reproductive system</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9873t.jpg" alt="Scrotal mass" title="Scrotal mass" class="side-img"/><a href="../imagepages/9873.htm">Scrotal mass</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Germann CA. Urologic disorders. In: Walls RM, ed. <em>Rosen's Emergency Medicine: Concepts and Clinical Practice</em>. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 85.</p><p>Sommers D, Winter T. The scrotum. In: Rumack CM, Levine D, eds. <em>Diagnostic Ultrasound.</em> 5th ed. Philadelphia, PA: Elsevier; 2018:chap 22.</p></div></div></section>
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