lump after surgery

I had a spermatocele removed in July.  The swelling has gone however I have noticed a small lump at the end of the surgacial scar near the top of my testicle in the epididymas area.  Is this normal after surgery?

[Kevin Pho, MD]

Scarring can occur after surgery which may present as a lump.  The incidence of a hematoma (a collection of blood) occurs in 17% of scrotal surgeries.  The presence of this can also lead to a lump.  

If sclerotherapy was performed during the procedure, patients may also develop a firmer scrotal wall as a result of the inflammatory reaction within the scrotum and the resultant fibrin deposition.

You can consider an ultrasound to evaluate whether the lump is a result of scarring or if anything more serious is going on.  

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.