Is It Normal to Feel a Soft Mass Near the Testicles? - Urology

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Feeling a soft mass near the testicles can be concerning, and it's important to understand what this could mean. The area around the testicles, including the scrotum, contains various structures such as the testicles themselves, blood vessels, nerves, and other tissues. A soft mass could potentially be one of several things, and while some may be benign, others could require medical attention.

One common cause of a soft mass in this area is a hydrocele, which is a fluid-filled sac surrounding a testicle that causes swelling in the scrotum. Hydroceles are usually painless and can occur in newborns or develop later in life. Another possibility is a spermatocele, which is a cyst that forms in the epididymis (the tube that stores sperm) and is typically filled with fluid. Like hydroceles, spermatoceles are generally benign and may not cause any symptoms.

If the mass is tender or painful when pressure is applied, it could indicate an infection or inflammation, such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicle). These conditions can be caused by bacterial or viral infections and may require treatment with antibiotics or other medications.

In some cases, a soft mass could be related to varicocele, which is an enlargement of the veins within the scrotum. Varicoceles can sometimes cause discomfort and are more common on the left side. They are usually not serious but can affect fertility.

While many of these conditions are benign, it is crucial to rule out more serious issues, such as testicular tumors. Testicular cancer can present as a lump or mass in the testicle or scrotum, and it is important to seek medical evaluation if you notice any new masses, especially if they are accompanied by pain, swelling, or changes in the testicle.

Given your description of the mass being soft and painful when pressed, it is advisable to consult a healthcare professional, preferably a urologist, for a thorough examination. They may perform a physical examination and possibly an ultrasound to determine the nature of the mass. Early diagnosis and treatment are key to addressing any potential issues effectively.

In summary, while feeling a soft mass near the testicles can be normal in some cases, it is essential to monitor any associated symptoms such as pain, swelling, or changes in the area. Seeking medical advice is the best course of action to ensure your health and peace of mind.