Hard Lumps on the Scrotum: Causes and Concerns

Increasingly larger acne lesions..?

I have developed a hard white lump in the area of my scrotum, near the base of the penis.
Initially, I didn't think much of it and occasionally tried to squeeze it, but nothing would come out.
After about a month, the lump has grown larger, approximately 1 to 1.5 centimeters.
When I touch it, it feels like a spherical object, and it seems that another hard lump has slowly formed on top of the original one, giving it a somewhat "protruding" shape.
What could be the cause of this? Two weeks ago, I underwent a physical examination, and tests for HIV and syphilis showed no abnormalities.

Cha Li Wang, 20~29 year old female. Ask Date: 2005/10/05

Dr. Xu Weikai reply Urology

Based on your description, it seems to be a subcutaneous infection, simply put, a lesion similar to cellulitis.
After a while, it may form an abscess, which will become soft and can be drained with a needle or incised to allow the pus to be released, facilitating quicker healing.
At this stage, do not squeeze it, or consider consulting a physician to confirm the diagnosis and initiate local treatment.
Best regards, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/10/05

More Info

When it comes to hard lumps on the scrotum, particularly those that have changed in size or shape, it is essential to approach the situation with caution and seek a thorough evaluation from a qualified healthcare professional. Based on your description, there are several potential causes for the hard lumps you are experiencing, and understanding these can help guide you toward the appropriate next steps.

Possible Causes
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 can vary in size. While they are typically painless, they can sometimes feel firm or hard.

2. Spermatoceles: Similar to epididymal cysts, spermatoceles are cysts that contain sperm and can occur in the epididymis. They are also generally harmless but can grow larger over time.

3. Varicocele: This condition involves enlarged veins within the scrotum, which can sometimes feel like a lump. Varicoceles are more common on the left side and can cause discomfort or a feeling of heaviness.

4. Testicular Tumors: While less common, any new lump or change in the scrotum warrants consideration of the possibility of a testicular tumor. These can be benign or malignant, and early detection is crucial for effective treatment.

5. Infections or Inflammatory Conditions: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle) can lead to swelling and lumps. These are often accompanied by pain, redness, or swelling.

6. Lymphadenopathy: Enlarged lymph nodes in the groin area can sometimes present as lumps in the scrotum. This can occur due to infections or other systemic conditions.

Recommended Actions
Given the changes you've observed in the lump's size and shape, it is crucial to take the following steps:
1. Consult a Urologist: A urologist specializes in male reproductive health and can provide a comprehensive evaluation. They may perform a physical examination and possibly an ultrasound to assess the lump's characteristics.

2. Avoid Manipulation: While it may be tempting to squeeze or manipulate the lump, this can lead to irritation or infection. It's best to leave it alone until you have been evaluated by a healthcare professional.

3. Document Changes: Keep track of any changes in the lump, including size, shape, or any associated symptoms such as pain, discomfort, or changes in urination. This information can be valuable for your healthcare provider.

4. Follow-Up Testing: Depending on the initial evaluation, your doctor may recommend further testing, such as blood tests or imaging studies, to rule out any serious conditions.

5. Stay Informed: Educate yourself about potential conditions affecting the scrotum, but avoid self-diagnosing. Rely on professional medical advice for accurate diagnosis and treatment.

Conclusion
In summary, while there are several benign causes for hard lumps on the scrotum, any new or changing lump should be evaluated by a healthcare professional to rule out serious conditions. Early diagnosis and treatment are key to managing any potential issues effectively. Please prioritize scheduling an appointment with a urologist to address your concerns and ensure your health is safeguarded.

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