Scrotal masses overview

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Steven C. Campbell, M.D., Ph.D.,C. Michael Gibson, M.S., M.D. [1]

Overview

A mass in the scrotum can be in the contents of the scrotum, the wall, or the scrotum itself. All scrotal masses should be evaluated via surgical investigation. Scrotal masses are separated into two categories: Painful and nonpainful masses.

Torsion is painful and may require surgical intervention. Scrotal swelling that does not contain a mass is most likely associated with a different medical condition such as heart failure or edema. All intratesticular masses are considered cancer unless proven otherwise.

Diagnosis

Chest X Ray

Chest X-ray is required if a solid mass is found.