Cyst on Scrotum: Causes, Symptoms, Pictures & Treatment

A cyst on the scrotum is a fluid-filled sac that develops in the epididymis, a small organ near the testicles where sperm mature. They are mostly benign and painless and are often discovered as a smooth, firm lump.

There are two main types of scrotal cysts, distinguished by their origin and composition. Understanding them aids in accurate diagnosis and appropriate management. The types are:

1. Epididymal: These lumps form in the epididymis, a coiled tube at the back of the testicle. This type is common and often doesn't require treatment unless it causes discomfort or concern.

2. Sebaceous Cyst on Scrotum: They develop from blocked sebaceous glands in the skin of the scrotum. They contain an oily substance called sebum and may vary in size. 

Scrotal Cyst Grades

A cyst on scrotum varies in severity and is often categorised into different grades based on their characteristics. Below is a table outlining the stages of these lumps:

A cyst on scrotum skin can cause various symptoms, from minor discomfort to major consequences. The following are a few common signs and indicators:

1. Lump or mass in the scrotum

2. Swelling or enlargement of the affected area

3. Pain or discomfort, especially with larger growth

4. Redness or inflammation of the scrotal area

The development of a cyst on scrotum can be attributed to various factors. Below are common causes associated with this condition:

1. Spermatocele: It develops when the epididymis becomes blocked, accumulating fluid and forming a cystic mass.

2. Epididymitis: Inflammation of the epididymis can also contribute to developing bumps on the scrotum. Bacterial infections often cause this condition and may result in swelling and pain.

3. Orchitis: The inflammatory process can cause the testicle to become red and cause scrotal growth.

Scrotal Cyst Risk Factors

A cyst on scrotum can be influenced by various risk factors, including certain medical conditions and personal medical history. The key elements include:

1. Cryptorchidism: This refers to the condition where one or both testicles fail to descend into the scrotum during fetal development. Individuals with this condition are at an increased risk of developing a growth on the scrotum.

2. Congenital Conditions: Certain issues present at birth may predispose individuals to scrotal lumps. It can affect the function of the reproductive organs, increasing the likelihood of growth formation.

3. Previous Testicular Cancer: While most of these bumps are benign, individuals with a history of this tumour should remain conscious. 

It's not possible to completely prevent the occurrence of lumps on the scrotum. However, regular scrotal self-exams can help detect changes, such as a new lump. It's essential to perform these exams at least once a month. Moreover, if one notices a new mass or any other unusual changes, seeking medical evaluation is crucial.

It's important to consult a healthcare professional for proper evaluation and diagnosis of scrotum growth. An overview of the examinations one can expect to go through are:

1. Patient History: The healthcare provider will inquire about the symptoms, including any pain, discomfort, or changes in the scrotum. This helps in understanding the duration, progression, and severity of the symptoms.

2. Clinical Analysis: A physical examination of the scrotum is conducted to assess for any lumps, swelling, or other abnormalities. The provider may touch the scrotum to feel for the presence of a bump and evaluate its size, consistency, and tenderness.

3. Imaging Studies: Depending on the findings, further investigations may be recommended. This includes tests such as ultrasound, which can help confirm the presence of a lump.  

Disclaimer: The tests for diagnosing a scrotal bump may vary from one patient to another.

How to prepare for the doctor’s consultation?

Preparing for a doctor's consultation can help ensure a productive and informative discussion about the patient’s health concerns. Check the recommendations provided for a better understanding.

What to expect from the doctor?

You can expect a comprehensive evaluation when consulting a doctor regarding scrotal bumps. The doctor will likely:

1. Note the symptoms.

2. Conduct a physical examination, which may involve analysing the affected area.

3. Discuss potential treatment options.

What questions to ask the doctor?

Being prepared with relevant questions can help make informed decisions. Consider asking:

1. What is the diagnosis and its implications?

2. What treatment options are available?

3. Are there any lifestyle changes or self-care measures I should follow?

4. What are the expected outcomes and potential complications?

Scrotal cyst treatment involves a range of options depending on the size, symptoms, and patient preferences. It includes:

1. Nonsurgical Options: This approach is commonly practised and often recommended for small, asymptomatic lumps. Observation with regular follow-up appointments may be sufficient for monitoring the size and progression of the cyst. 

1. Symptomatic Management: If the lump causes discomfort or pain, over-the-counter pain relievers may provide relief. 
2. Aspiration: This procedure involves draining the fluid from the bump using a needle and syringe. 
3. Lifestyle Modifications: Maintaining good hygiene and avoiding activities that cause friction to the scrotum can help manage symptoms.

2. Surgery: Removal of the lump, known as excision, offers a permanent cure and is typically recommended for symptomatic or recurrent lumps. Minimally invasive techniques, such as laparoscopic or robotic-assisted surgery, offer alternative options. They remove scrotal bumps with smaller incisions and reduce tissue trauma. 

Estimated Costs of Scrotal Cyst Treatment

The cost of scrotal cyst treatment can vary significantly depending on various factors, such as the type of procedure. The approximate expenses are:

Note: The numbers mentioned above are approximated and can vary from one person to another.

Small lumps may remain asymptomatic and harmless for extended periods. However, larger lumps or those exhibiting progressive enlargement may necessitate medical attention. Failure to seek timely treatment can lead to discomfort, pain, and infection.

The presence of an unusual lump or swelling should not be ignored. Knowing the symptoms and signs of a cyst on scrotum can help in timely treatment. 

At HexaHealth, we guide you to the most trusted healthcare professionals specialising in urology. Whether it's seeking expert advice or exploring scrotal cyst treatment options, we are here to provide support every step of the way. Get in touch!

Suggested Reads