CONDITIONS
Testicular / Scrotal Masses
A lump or mass felt in the scrotum indicates the need for further investigation. A lump in the scrotum is often caused by a benign collection of fluid known as a hydrocoele or a cyst. Scrotal lumps may also represent a cancer of the testis.
An examination, including an ultrasound of the scrotum, will be performed to identify the type of scrotal lump or mass. Fortunately, in most cases, a benign cause is identified, but it is important that testicular cancer be ruled out.
Testicular cancer is the most common cancer in men aged 15-35 years of age. There are several types of testicular cancer, and most testicular cancers respond very well to treatment.
Causes of testicular masses include:
- Infections of the testes and epididymis
- Hernias
- Damage caused by trauma
- Twisting/torsion of the testes
- Cysts
- Testicular cancer
- Varicocele / Scrotal varicose veins
Treatment of testicular/scrotal masses:
Treatment is varied depending on the underlying condition. Infections are treated with antibiotics. Non-cancerous causes such as cysts and hydroceles are often observed, followed-up and treated surgically only when they cause discomfort.
If testicular cancer is suspected the testis is removed via an incision in the groin. Upon confirmation of cancer, chemotherapy and radiotherapy may be required. This is offered in close collaboration with an Oncologist.