Signs and symptoms of scrotal masses vary depending on the nature of the abnormality. In some cases, the only sign may be the presence of a lump in the scrotum that you can feel with your fingers.
Scrotal mass symptoms may include:
- An unusual lump in the scrotum
- 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, symptoms may also 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 or 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 may increase the risk of some scrotal masses later in life.
Jul. 14, 2011
- Montgomery JS, et al. The diagnosis and management of scrotal masses. Medical Clinics of North America. 2011;95:235.
- Wampler SM, et al. Common scrotal and testicular problems. Primary Care: Clinics in Office Practice. 2010;37:613.
- Tiemstra JD, et al. Evaluation of scrotal masses. American Family Physician. 2008;78:1165.
- Trojian TH, et al. Epididymitis and orchitis: An overview. American Family Physician. 2009;79:583.
- Hagerty JA, et al. Pediatric scrotal masses. Clinical Pediatric Emergency Medicine. 2009;10:50.
- Testicular self-exam. American Cancer Society. http://www.cancer.org/cancer/testicularcancer/moreinformation/doihavetesticularcancer/do-i-have-testicular-cancer-self-exam. Accessed May 10, 2011.