Scrotal Lumps: What You Need to Know About Testicular Health - Urology

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Scrotal mass


Hello, doctor.
I recently noticed a small round hard lump above my left testicle that doesn't seem to be on the testicle itself, closer to the base.
I usually don't experience any pain or discomfort.
Should I be concerned?

Yihuo, 10~19 year old female. Ask Date: 2016/02/23

Dr. Xu Weikai reply Urology


Inquiry: Hello, it is best to determine whether it is a tumor.
It is important to monitor for any changes.
If there are any unclear points, feel free to ask again so we can further discuss and research together.
Online responses should only be used as a reference; if necessary, it is still 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, who cares about your health.

Reply Date: 2016/02/23

More Info


When it comes to testicular health, discovering a lump or hard mass in the scrotal area can understandably cause concern. It's essential to approach this situation with a clear understanding of what such findings might indicate and the steps you should take.

Firstly, it's important to note that not all lumps in the scrotal area are indicative of serious conditions. Many scrotal lumps can be benign, such as epididymal cysts, which are fluid-filled sacs that can develop in the epididymis (the tube that carries sperm from the testicle). These cysts are usually painless and do not require treatment unless they cause discomfort or grow significantly.

Another common benign condition is a varicocele, which is an enlargement of the veins within the scrotum. Varicoceles can sometimes feel like a lump and are often associated with a feeling of heaviness or discomfort, especially after prolonged standing or physical activity. They are generally not harmful but can affect fertility in some cases.

However, it is crucial to consider the possibility of more serious conditions, such as testicular tumors. Testicular cancer is relatively rare but can occur, especially in younger men. The key symptoms to watch for include a lump or swelling in the testicle, changes in the size or shape of the testicle, and sometimes discomfort or pain. Early detection is vital for successful treatment, so if you notice any changes, it is essential to seek medical advice promptly.

In your case, since you mentioned that the lump is located above the left testicle and is not causing pain or discomfort, it is still advisable to have it evaluated by a healthcare professional. A physical examination is the first step, and your doctor may recommend an ultrasound to assess the characteristics of the lump. This imaging test is non-invasive and can provide valuable information about the nature of the lump, helping to distinguish between benign and potentially malignant conditions.

Additionally, if there are any accompanying symptoms such as pain, swelling, or changes in urinary habits, these should be reported to your doctor, as they can provide further clues regarding the underlying issue.

In summary, while many scrotal lumps are benign and not a cause for alarm, it is essential to have any new or unusual findings evaluated by a healthcare professional. Early diagnosis and intervention can make a significant difference in outcomes, particularly if a serious condition is present. Therefore, I recommend scheduling an appointment with your healthcare provider to discuss your concerns and undergo a thorough evaluation. Remember, taking proactive steps regarding your health is always the best approach.

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