Normal Lump and Bumps?

[Worried One]

Dear Dr. I  have an appointment scheduled for later this week with my physician. I'm not sure if I should be concerned. A couple of weeks ago, I performed a testicular self examination. During the exam, I fould two lumps, one on each side of the scrotum, within the scrotum itself, that were not my testicles. I read an article on another site about a genital exam and this Dr. indicates that during such an exam, he "tries to teach the patient what some of the other lumps and bumps of the scrotum are." I'm hoping that what I'm feeling are typical lumps and bumps...they're soft, not painful, and maybe 1/2 inch around. Could these just be another part of the anatomy I'm not familiar with? Could they be swollen lymph nodes...I'm not sure exactly where lymph nodes in the groin are located.

I appreciate any information you can provide.

Thanks!

[Kevin Pho, MD]

Hello - thanks for asking your question.

Without examining you, it is impossible to say what you have.

There are several considerations for scrotal lumps and masses.  Of course testicular cancer is always a possibility - this is typically found as painless masses.  Other options include various types of cysts, including a hydrocele, spermatocele, epididymal cysts, or varicocele.  

Infections such as epididymitis can also cause lumps in the scrotum, at times accompanied by tenderness.  

I would definitely start with a scrotal ultrasound for further evaluation.  If the ultrasound is inconclusive, then an MRI can be performed.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.