Signs and symptoms of scrotal masses vary depending on the abnormality. Signs and symptoms might include:
- An unusual lump
- Sudden pain
- A dull aching pain or feeling of heaviness in the scrotum
- Pain that radiates throughout the groin, abdomen or lower back
- Tender, swollen or hardened testicle
- Tender, swollen or hardened epididymis (ep-ih-DID-uh-mis), the soft, comma-shaped tube above and behind the testicle that stores and transports sperm
- Swelling in the scrotum
- Redness of the skin of the scrotum
- Nausea or vomiting
If the cause of a scrotal mass is an infection, signs and symptoms also might include:
- Urinary frequency
- Pus or blood in the urine
When to see a doctor
Seek emergency medical care if you develop sudden pain in your scrotum. Some conditions require prompt treatment to avoid permanent damage to a testicle.
See your doctor if you detect a lump in your scrotum, even if it's not painful or tender, or if you experience other symptoms of a scrotal mass.
Some scrotal masses are more common in children. See your doctor if your son experiences symptoms of a scrotal mass, if you have any concerns about the development of his genitals or if he is "missing" a testicle — an undescended or retractile testicle, which might increase the risk of some scrotal masses later in life.
June 19, 2014
- Eyre RC. Evaluation of nonacute scrotal pathology in adult men. http://www.uptodate.com/home. Accessed March 20, 2014.
- The Merck Manuals: The Merck Manual for Health Care Professionals. http://www.merckmanuals.com/professional/genitourinary_disorders/symptoms_of_genitourinary_disorders/painless_scrotal_mass.html. Accessed March 20, 2014.
- Brenner JS, et al. Causes of scrotal pain in children and adolescents. http://www.uptodate.com/home. Accessed March 20, 2014.
- Eyre RC. Evaluation of acute scrotum in adults. http://www.uptodate.com/home. Accessed March 20, 2014.
- What are the risk factors for testicular cancer? American Cancer Society. http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-risk-factors. Accessed March 20, 2014.
- Testicular self-exam. American Cancer Society. http://www.cancer.org/cancer/testicularcancer/moreinformation/doihavetesticularcancer/do-i-have-testicular-cancer-self-exam. Accessed March 20, 2014.
- How is testicular cancer treated? American Cancer Society. http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-treating-general-treatment-info. Accessed March 20, 2014.
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