HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Knot Like Lump In The Left Side Of Scrotum?

default
Posted on Mon, 18 May 2015
Question: Thank you Sir. Good morning.
I am 60 yrs. Normal in health. I observe that of late my scrotum has become saggy & itchy (itchy especially when at home without inner wear) and I also observe a knot like small lump in the left side of the scrotum. The knot in scrotum has been noticed for the last one year and the itchy sensation also for about one year. The knot does not give pain or does not cause inconvenience. However, the itchy sensation is inconvenient. I keep my scrotum and penis clean. What could be the causes Sir. I am a loner and so I do not have sex. However I spill sperm on bed, once a week, on masturbation.
with regards XXXXXXX
doctor
Answered by Dr. Prakash H Muddegowda (47 minutes later)
Brief Answer:
Varicoele with possible fungal infection.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. The knot like lump in the left side of scrotum could be a varicoele. It enlarged veins and not to be worried about for now.
2. The itchy sensation is due to increased sweating, possibly with secondary infection. Look for any skin reddening/ excoriation/ any ulceration at the area. If present, possibly fungal infection. You will need to use anti-candida creams at that location.
3. Always keep the area dry. Wipe with soft cloth to keep it dry and do wash the area immediately after masturbation. Semen can be a source of nutrition for infectious organisms.
4. For itching, you can take cetrizine or loratidine.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Prakash H Muddegowda (51 minutes later)
Thank you Sir for your step by step medical response. I have a few questions pl.
1) 22 yrs ago my mom died of nonhodchins lymphoma. She was 66 yrs old then.
Do varicoele is any sort of symptom of any form of cancer?
2) I always keep my scrotum & penis clean. I shall follow your advice of drying with a soft cloth after washing.
3) I do not have skin reddening or ulceration at the scrotum. But I do not understand about excoriation. Could you pl explain Sir?
Thank you for your patient listening
with regards XXXXXXX
doctor
Answered by Dr. Prakash H Muddegowda (5 hours later)
Brief Answer:
Not symptoms of lymphoma

Detailed Answer:
Hi XXXXXXX
Thanks for asking again.

1. Excoriation is loss of superficial layer - here skin, due to scratching, secondary to itching. Scratching can damage skin, without causing bleeding or ulceration.
2. Itching is not generalized, so we need to think of local causes. However, keep area dry after washing. If itching persists, try a one week application of antifungal cream like anticandid cream or powders. For now, for itching you can take cetrizine or loratidine.
3. Varicoele is a vascular disorder and not related to lymphoma in any way. Not to worry.

If your testis is getting enlarged, or if you are finding any masses (large lymphnodes), then lymphoma needs to be ruled out. As you do not have these symptoms, not to worry.

Hope it helps. Any further queries, here to help again.

Dr. Prakash HM
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Knot Like Lump In The Left Side Of Scrotum?

Brief Answer: Varicoele with possible fungal infection. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. The knot like lump in the left side of scrotum could be a varicoele. It enlarged veins and not to be worried about for now. 2. The itchy sensation is due to increased sweating, possibly with secondary infection. Look for any skin reddening/ excoriation/ any ulceration at the area. If present, possibly fungal infection. You will need to use anti-candida creams at that location. 3. Always keep the area dry. Wipe with soft cloth to keep it dry and do wash the area immediately after masturbation. Semen can be a source of nutrition for infectious organisms. 4. For itching, you can take cetrizine or loratidine. Hope it helps. Any further queries, here to help again. Dr. Prakash HM