Scrtm

Scrotal Mass

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Scrotal Mass, Scrotal Lesion, Groin Mass, Inguinal Mass

  • Causes
  • Groin swelling
  1. Undescended Testicle (Cryptorchidism)
  2. Femoral or inguinal adenitis or adenopathy
  3. Femoral arterial aneurysm
  4. Inguinal Hernia
  5. Femoral Hernia
  6. Hematoma
  7. Hidradenitis Suppurativa
  8. Lipoma
  9. Lymphoma
  10. Metastatic cancer
  11. Psoas abscess
  12. Sebaceous Cyst
  • Causes
  • Skin Lesions
  • Causes
  • Testicular or epididymis swelling
  1. See Scrotal Pain
  2. Acute and Tender
    1. Testicular Torsion
      1. Acute unilateral scrotal swelling and Scrotal Pain
      2. Pain not relieved with Prehn's Sign (unreliable)
      3. Associated with a high riding Testicle and Nausea or Vomiting
    2. Orchitis or Epididymitis
      1. Acute unilateral scrotal swelling and pain adjacent to Testicle and may be relieved with Prehn's Sign
      2. May be associated with Dysuria, fever, scrotal erythema
      3. Increased C-Reactive Protein (CRP) >24 mg/ml in most cases
  3. Chronic and Non-tender
    1. Testicular carcinoma
      1. Firm, unilateral Nodule (may present with pain in some cases)
    2. Hydrocele
      1. Fluid collection around the Testicle that transilluminates
    3. Hematocele
      1. Trauma induced blood collection around Testicle (evaluate for testicular rupture)
    4. Spermatocele
      1. Adjacent to Testicle
  • Causes
  • Spermatic cord swelling
  1. Indirect Inguinal Hernia
    1. Typically unilateral bulging of Scrotum provoked with Valsalva Maneuver
  2. Varicocele
    1. Dull ache-type Scrotal Pain provoked with standing
    2. "Bag of worms" like swelling
  3. Hydrocele
    1. Fluid collection around the Testicle that transilluminates
  1. Scrotal Ultrasound is indicated in most cases of Scrotal Mass
  2. Testicular Torsion is an emergency and requires immediate evaluation