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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Small Lump Inside The Scrotum?

Hi, I have a small pea-sized lump which is inside the tube-like upper part of the scrotum. I have been evaluated by my local GP who said it is likely a varicocele, but after some research I think it is an epididymal cyst. This is only because a varicocele looks like it is a swelling of the whole vein itself, whereas in my case, it is a small hard, concentrated lump, within a tube . I am not one to go against my doctor as he is much more knowledgeable in the field than I am, but am just looking for a quick second opinion. Also, I have regularly checked my testicles following the discovery of the lump, and have found no problems and they feel normal. However I am feeling some discomfort around the abdomen and groin area which I read can be a symptom of TC. The discomfort isn t really painful or an ache, it is simply a feeling of discomfort. Could this be linked to the lump in the tube . Any help is appreciated as I do not think it is TC, but I can never be too careful. Thank you in advance.
Thu, 19 Mar 2015
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Urologist 's  Response
Hello
Thanks for query.
The hard pea sized lump in scrotum above the Testis is mostly a Spermatocele (Epididymal Cyst) as rightly suspected by you.

However this needs to be confirmed by Ultrasound Scanning of Scrotum

This is a benign cyst and does not need any treatment and you do not have TC .

Discomfort that you have does not need any active intervention or treatment.

Dr.Patil.

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What Causes A Small Lump Inside The Scrotum?

Hello Thanks for query. The hard pea sized lump in scrotum above the Testis is mostly a Spermatocele (Epididymal Cyst) as rightly suspected by you. However this needs to be confirmed by Ultrasound Scanning of Scrotum This is a benign cyst and does not need any treatment and you do not have TC . Discomfort that you have does not need any active intervention or treatment. Dr.Patil.