Should You See a Doctor for a Soft Lump on the Scrotum? - Urology

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Scrotal foreign body


Hello doctor, I recently discovered a foreign object about one centimeter in size on the left side of my scrotum.
It doesn't hurt and feels soft when I squeeze it.
Should I seek medical attention?

Ren, 10~19 year old female. Ask Date: 2022/03/10

Dr. Du Shixi reply Urology


Hello: If there is no pain, it is mostly related to tissue or blood vessels, which is less concerning.
If you have time, seek medical attention.
If it starts to enlarge, seek medical care immediately.
Wishing you good health.

Reply Date: 2022/03/10

More Info


If you have discovered a soft lump on the left side of your scrotum that is approximately one centimeter in size and is not painful to the touch, it is still advisable to see a doctor for a thorough evaluation. While the lump may not be causing any discomfort, there are several important reasons to seek medical advice.

Firstly, the presence of a lump in the scrotal area can be indicative of various conditions, some of which may require treatment. Common causes of scrotal lumps include:
1. Epididymal Cysts: These are fluid-filled sacs that can develop in the epididymis, the coiled tube at the back of the testicle. They are usually benign and may not require treatment unless they cause discomfort.

2. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins. It can sometimes lead to fertility issues, so it's important to have it evaluated.

3. Hydrocele: This is a collection of fluid around the testicle, which can cause swelling. Hydroceles are generally painless and may not require treatment unless they become large or symptomatic.

4. Testicular Tumors: Although less common, any new lump in the scrotum should be evaluated to rule out the possibility of testicular cancer. Early detection is crucial for effective treatment.

5. Infections or Inflammation: Conditions such as epididymitis or orchitis can cause swelling and lumps in the scrotal area. These may require antibiotic treatment.

Given the variety of potential causes, it is essential to have a healthcare professional assess the lump. A doctor will typically perform a physical examination and may order an ultrasound to get a clearer picture of the lump's characteristics. This imaging can help differentiate between benign conditions and those that may require further intervention.

In terms of timing, if the lump has been present for a short period and is not changing in size or causing any symptoms, you may not need to rush to the doctor. However, it is wise to schedule an appointment within a few weeks to ensure that it is monitored and evaluated appropriately.

In conclusion, while the lump may not be causing pain or discomfort, it is still prudent to consult with a healthcare provider. They can provide a proper diagnosis and recommend any necessary treatment or monitoring. Remember, when it comes to health concerns, especially those involving potential changes in your body, it is always better to err on the side of caution.

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