What is the cause of the swelling next to the scrotum?

A swollen lump next to the scrotum should be taken seriously, because sometimes it is also a sign of some diseases, such as common epididymitis, which usually causes these symptoms, and sometimes is accompanied by adverse effects such as epididymal nodules or fever. Therefore, once such symptoms appear, you should go to the hospital for examination and treatment as soon as possible to reduce the harm.

1. Hard bumps on the testicles should be taken seriously, because this is a sign of disease. Initially, consider epididymitis, which is mostly caused by the spread of infection from adjacent organs. It manifests as sudden pain in the scrotum, epididymal swelling, obvious tenderness, and may be accompanied by fever and epididymal nodules. Chronic epididymitis often coexists with chronic prostatitis, so the general treatment measures are the same as those for chronic prostatitis. Small bumps on the testicles may indicate inflammation of the urogenital system such as orchitis and epididymitis.

2. After carefully examining the lumps in the scrotum on both sides, the doctor can roughly distinguish between benign and malignant lesions. If a testicular tumor is suspected, it is not advisable to perform a local puncture biopsy of the testicular tumor because it is easy to cause tumor metastasis. The nature of the testicular tumor must be confirmed by the pathological report after surgery.

3.B-ultrasound examination can more accurately measure the size and shape of the testicles and whether there is a tumor. Especially for patients with cryptic testes, it can understand the development of the testicles and whether they are enlarged or malignant.

4. Take a blood test for tumor markers human chorionic gonadotropin (HCG, normal value <5 micrograms/liter) and alpha-fetoprotein (AFP, normal value <25 micrograms/liter). If the test value exceeds the normal value, further examination should be performed.

5. Chest X-ray examination, including fluoroscopy or chest radiography, to determine whether there is lung metastasis.

6. Computed tomography (CT) and magnetic resonance imaging (MRI) can more accurately determine whether there is retroperitoneal metastasis, which is especially helpful for patients who have not yet undergone cryptic testicular removal and may have already developed malignant changes.

7. Testicular self-examination. Take a hot bath first to relax the scrotum so that you can feel for lumps and abnormalities. When checking, stand on both feet and feel for lumps or other abnormalities. Normal testicles are oval, smooth, and of medium hardness.