Is It Normal to Have a Bump on the Spermatic Cord?

Is it normal to have small lumps on the spermatic cord?

Hello, Dr.
Hsu: I have a small bump above my testicle, and after researching online, it seems to be located in the spermatic cord.
Is it normal to have a bump in the spermatic cord? Also, my underwear is thick, and it has caused a slight abrasion that has turned red.
What type of ointment should I apply?

Da Ming, 10~19 year old female. Ask Date: 2016/01/14

Dr. Xu Weikai reply Urology

Hello, regarding the bumps you mentioned, if they appear in a series, it could be due to tuberculosis bacteria.
For abrasions, you can use a standard topical ointment for minor wounds.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
Please note that online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/14

More Info

It’s quite common for individuals to notice lumps or bumps in the area of the spermatic cord or around the testicles, and many people often wonder if these are normal or if they should be concerned. Based on your description, it sounds like you may be feeling a normal anatomical structure, such as the epididymis or possibly a spermatocele, which is a fluid-filled cyst that can develop in the epididymis.
The spermatic cord contains several structures, including blood vessels, nerves, and the vas deferens, which transports sperm from the testicles. It is not unusual to feel some irregularities in this area, especially if you are examining it yourself. However, if the bump is new, has changed in size, or is accompanied by pain, swelling, or other concerning symptoms, it would be wise to consult a healthcare professional for a thorough evaluation.

Regarding the redness and irritation you mentioned, it sounds like you may have experienced some minor chafing or irritation from your underwear. This is not uncommon, especially if the fabric is thick or if there has been friction. For mild irritation, over-the-counter topical treatments such as hydrocortisone cream can help reduce inflammation and soothe the area. Additionally, keeping the area clean and dry is important. If the redness persists or worsens, or if you notice any signs of infection (such as increased pain, swelling, or discharge), you should seek medical attention.

In summary, while it is often normal to feel bumps in the spermatic cord area, any new or concerning changes should be evaluated by a healthcare provider. They can perform a physical examination and possibly imaging studies if necessary to rule out any serious conditions. Remember, maintaining good hygiene and wearing comfortable, breathable underwear can help prevent irritation and discomfort in the genital area. If you have further concerns or if symptoms persist, don’t hesitate to reach out to a urologist for a more detailed assessment. Your health and peace of mind are important, and getting professional advice is always a good step when in doubt.

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