Painless irrregular swelling on scrotal sac

Hello.  I am 44 year old obese man with diabetes and hypertension, both currently well controlled by medication.  In the past several days I have noticed a large, irregular swelling on the inside of my scrotum, front side.  It is painless.  When held in my hand it's about he size of a small chicken's egg, although not well defined in shape.  Consistency is about that of firm clay.  Palpitating it does not cause any discomfort.  Testicles seem to be normal size and regular shape.  Urination and ejaculation are normal.

Medications:  Glucovance, Actos, Toprol XL, Lisinopril, Lasix w/pot. chloride, Paxil.

Is this something which requires examination?  My regular physician is an internist; should I seek a urologist's examination?

Thank you for any attention to this.

[Kevin Pho, MD]

Difficult to say without evaluation.

A scrotal swelling can be due to a mass, cyst, varicocele or hydrocele.  If it is superficial, infection or folliculitis can also be considered.

The test to do would be a scrotal ultrasound.  This would give a more definitive evaluation of the lump, and rule out potentially serious causes.

I would consider a urology evaluation.

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.

Kevin, M.D.
kevinmd_

[Abhishek_suresh]

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