There is a soft lump in the scrotum

The scrotum not only provides a good protective environment for the testicles, but also regulates the temperature inside the scrotum so that the testicles can work well. However, some men often find that there seems to be a soft mass inside the scrotum in addition to the testicles. Although the soft mass inside the scrotum may be the epididymis such as the vas deferens and arteries and veins surrounding the testicles, other reasons cannot be ruled out. After all, we can only prescribe the right medicine if we fully understand the cause of it. Detailed introduction to the reasons for the soft mass inside the scrotum.

1. Varicose vein

Varicose veins are a type of vascular disease, which refers to the abnormal dilation, elongation and tortuosity of the spermatic veins, which can cause pain and discomfort and progressive testicular dysfunction. It is one of the common causes of male infertility. It has attracted widespread attention due to its related scrotal pain and discomfort, infertility and testicular atrophy. It is a common male urogenital disease. It is more common in young men, with an incidence rate of 10% to 15% in the normal male population and 19% to 41% in male infertility. Varicose veins are vascular spermatogenesis disorders caused by the dilation of the spermatic veins and the vaginal veins surrounding the spermatic cord. It is usually seen on the left side, accounting for about 77% to 92%, and can also occur on both sides, accounting for about 7% to 22%. It is rare to occur on the right side alone, accounting for about 1%.

The prevalence of varicocele in the general male population is 10% to 15%, 30% to 40% in primary male infertility, and 69% to 81% in secondary infertility. The probability of first-degree relatives of patients with varicocele is significantly increased: 21.1% of fathers and 36.2% of brothers may both have varicocele.

2. Orchitis

Orchitis is usually caused by bacteria and viruses. The testicles themselves rarely have bacterial infections. Since the testicles have a rich supply of blood and lymph, they are more resistant to bacterial infections. Bacterial orchitis is mostly caused by inflammation of the adjacent epididymis, so it is also called epididymo-orchitis. Common pathogens are Staphylococcus, Streptococcus, Escherichia coli, etc. Viruses can directly

3. Hydrocele

Hydrocele is a cystic lesion formed by the accumulation of fluid in the vaginal cavity surrounding the testicle that exceeds the normal amount. It can be seen in people of all ages and is a common clinical disease. Clinically, hydrocele is divided into four types according to the location of the hydrocele and the degree of closure of the vaginal process: positive hydrocele, communicating hydrocele, caruncle hydrocele, and mixed hydrocele. The main clinical symptoms of the patients are: cystic masses in the scrotum. When the amount of fluid is small, there is no special discomfort. On the contrary, when the amount is large, the pulling of the semen in the upright position causes blunt pain and testicular heat. In severe cases, it can affect urination and normal daily life, such as giant testicular hydrocele.

The tunica vaginalis is a double-layer membrane covering the outside of the testicles. It is the peritoneum that brings the testicles into the scrotum during the descent of the testicles from the abdominal cavity. Under normal circumstances, after the testicles descend into the scrotum, the passage between the tunica vaginalis and the abdominal cavity closes automatically. If the closure is incomplete and ascites moves downward, hydrocele will occur.