Scrotal masses

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Hydrocele

Male reproductive system

Scrotal mass

Spermatocele

Hematocele; Spermatocele

ALL scrotal masses should be evaluated by a primary health care provider. Hematoceles, hydroceles, and spermatoceles are usually harmless and do not require treatment. Sudden, temporary conditions may respond to local comfort measures and, in some situations, antibiotics or pain relievers.

A scrotal support (jock strap) may provide some relief of the pain or discomfort associated with the scrotal mass. A hematocele, hydrocele, or spermatocele may occasionally require surgery to remove the collection of blood, fluid, or dead cells.

Most conditions that cause scrotal masses are either not important or can be easily treated. Even testicular cancer has a high cure rate with early diagnosis and treatment. Nevertheless, any scrotal mass should be examined promptly by a qualified doctor. Any delay in diagnosing cancer may reduce the ability to cure it.

• Varicoceles may lead to infertility.
• Hematoceles, hydroceles, and spermatoceles may return after surgery.
• Some aggressive forms of testicular cancer may metastasize (move to other organs such as the lungs or liver) before a scrotal mass is large enough to be detected.

Call your health care provider if you find any kind of lump or bulge within your scrotum.

Review Date: 10/20/2005
Reviewed By: David R. Knowles, M.D., Advanced Urologic Surgeons, Mt. Vernon, IL. Review provided by VeriMed Healthcare Network.