Scrotal masses are the abnormal growth or lump in your scrotum, the sac that holds your testicles. These masses can be caused by a variety of conditions, some of which are benign (non-cancerous), while others can be more serious.
We have the best urologist in East New York at Doral Health and Wellness Urology Center. If you notice a problem with your testicles or scrotum, you can contact us by visiting our clinic or visiting our website at https://doralhw.org/department/urology/ or https://www.urologistbrooklyn.com.
There are several procedures and tests that you need to undergo to properly diagnose your scrotal masses. These procedures help your medical providers accurately identify the nature, cause and the potential severity of your condition. The common tests and procedures can include:
- Medical History and Physical Exam
- Medical history – Your medical provider will ask about your symptoms, medical history, and any relevant lifestyle factors, such as recent trauma, infections, or family history of testicular conditions.
- Physical exam – Your medical provider will physically examine your scrotum to assess the size, texture, and location of the mass and whether it’s tender, movable, or hard.
- Diagnostic Imaging
- Ultrasound (Scrotal ultrasound) – This is the most common and reliable test for diagnosing scrotal masses. It uses sound waves to create images of the structures inside your scrotum, helping distinguish between solid masses (which may indicate tumors) and fluid-filled masses (such as cysts or hydroceles).
- MRI (Magnetic Resonance Imaging) – Occasionally, an MRI may be used to get more detailed images of your scrotum and its surrounding tissues.
- Blood Tests
- Tumor markers – Blood tests may be done to check for tumor markers such as alpha-fetoprotein (AFP), beta-human chorionic gonadotropin (beta-hCG), and lactate dehydrogenase (LDH). Elevated levels may suggest testicular cancer.
- Complete blood count (CBC) – May be used to check for signs of infection or other conditions.
- Urinalysis – A urine test is used to check for signs of infection or blood in your urine, which could indicate conditions such as epididymitis or urinary tract infections.
- Transillumination – A transillumination test is a simple test where a light is shined through your scrotum to differentiate between fluid-filled and solid masses. Fluid-filled masses (like hydroceles) will allow light to pass through, whereas solid masses (like tumors) will not.
- Biopsy – In cases where cancer is suspected, a testicular biopsy may be performed to analyze the tissue sample. However, a biopsy is generally avoided if cancer is suspected, as surgical removal of the entire testicle (orchiectomy) is the preferred method to avoid spreading cancer cells.
- CT Scan (Computed Tomography) – If testicular cancer is suspected, a CT scan may be done to check for cancer spread (metastasis) to other areas of your body, such as the lymph nodes, lungs, or abdomen.
- Sperm Analysis – In some cases, especially if fertility is a concern, a semen analysis may be done to evaluate your sperm count and its health.
- Testicular Self-Examination (TSE) – Though not a formal test, your medical provider may advise regular self-examinations to monitor changes in the size or texture of your scrotal mass, particularly if it’s benign or asymptomatic.
These diagnostic tests will help your medical provider determine whether the mass is benign or malignant and whether additional treatment is necessary. If you notice any lumps or changes in your scrotum, it’s important to seek medical attention immediately.
If you notice any lumps, swelling, pain, or changes in your scrotum, seek medical advice to ensure the proper diagnosis and treatment. You can schedule an appointment with Doral Health and Wellness Urology Center’s best urologist in Brooklyn. Our specialists will work with you in managing your condition. To schedule an appointment, please visit us at 1797 Pitkin Avenue, Brooklyn, New York 11212 or call 1-347-384-5690. You can also visit our website at https://www.urologistbrooklyn.com/.
