Health encyclopaedia

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Diagnosis of Testicular lumps, benign

The GP will identify a hydrocele by shining a light through the scrotum to illuminate the fluid causing the swelling. An ultrasound scan may be advised to exclude other testicular disorders.

The diagnosis of a varicocele is usually by physical examination of the scrotum while the man is standing up. It will usually disappear when the man lies down. A scrotal ultrasound may be used to confirm the presence of a varicocele. The varicocele is said to feel like a ‘bag of worms’.

An epididymal cyst grows above and behind the testicle. Physical examination will nearly always give a clear diagnosis.

Torsion of the testicle presents as swollen, inflamed and painful. This requires urgent surgical exploration.

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