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Urology (Expert Forum)
Lump in Scrotum ???
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Lump in Scrotum ???
by Ken__0, Aug 25, 1998 12:00AM
A couple weeks ago I noticed a small soft lump in my scrotum less than a quarter of the size of a testicle. Sometimes, It is hard to find, but when I have an erection, it is easy to locate. Now, I seem to be imagining a dull ache. My insurance kicks in in a month...can I wait? Before you give me the sound advise of seeing a physician immediately, could you tell me what it might be? Thank you - kwhopson
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Dear Ken,
It is difficult to comment on this mass because I don’t have the opportunity to examine you. There are several structures and potential abnormalities that can account for the description you gave. These are namely a spermatocele, hydrocele, varicocele, or hernia. All of these can be better characterized on physical exam. If there is any question, an ultrasound can be obtained to determine if the mass is intratesticular or extratesticular. There is a big difference if the mass is coming or growing inside the testicle or from the surrounding structures. Most likely you have a spermatocele which I will discuss in detail.
A spermatocele is a cystic structure of the epididymus. The cyst itself is usually firm and non-tender. It is usually filled with sperm and epididymal fluid and considered a benign lesion. It is possible for it to lead to a decrease in fertility however this is uncommon. The most important part of diagnosis is to make sure there is no cancerous lesion. Again this can be done by a good physical exam or ultrasound.
I can’t tell you how to live your life and I certainly can’t tell you if this is a cancerous lesion over the internet. Without examining you, I don’t want to comment on whether you should go to the urologist now or in a month. If you have a lump in your scrotum you need to be examined by a physician. Only you can decide when.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Scrotal Mass
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