Condition
Scrotal lumps
Finding a lump in the scrotum is understandably worrying. Most scrotal lumps are benign — but every new lump should be seen promptly by a urologist.
Overview
What is this condition?
The scrotum contains the testicles, the epididymis and their supporting structures. Lumps can arise from any of these — as well as from the skin.
Assessment combines a careful examination with a scrotal ultrasound, and in most cases provides a clear diagnosis at a single visit.
Common symptoms
Symptoms to be aware of
Symptoms vary from person to person. Specialist assessment helps determine the underlying cause.
A new lump or swelling
Dull ache or heaviness
Sudden pain
Requires urgent assessment.
Change in the size of a testicle
Redness or fever
May suggest infection.
A lump that changes with standing or straining
Possible causes
What can cause it
Hydrocele
Fluid around the testicle — usually painless and benign.
Epididymal cyst
Very common benign cysts above the testicle.
Varicocele
Enlarged veins — 'bag of worms' feel above the testicle.
Epididymo-orchitis
Infection or inflammation.
Testicular cancer
Uncommon overall but the most common cancer in young men — highly treatable when caught early.
Many causes are benign and highly treatable. A structured consultant-led assessment is the fastest way to reach a clear diagnosis and a personalised plan.
When to seek medical advice
Some symptoms should always prompt prompt specialist review. Please seek urgent medical advice — through your GP, NHS 111 or A&E — if you notice any of the following.
- Sudden severe testicular pain (possible torsion — an emergency)
- A new, firm, painless lump within the testicle
- Rapid enlargement of a testicle
- Testicular pain with fever
- Unexplained weight loss or lump in the abdomen alongside a scrotal lump
Diagnosis
How the diagnosis is made
Diagnosis follows a clear, patient-centred pathway — often completed within one or two visits.
- 01
Medical history
Onset, associated symptoms and risk factors.
- 02
Examination
Careful, dignified scrotal examination.
- 03
Scrotal ultrasound
The key investigation — non-invasive and highly accurate.
- 04
Blood tests
Tumour markers where a testicular tumour is suspected.
- 05
Further imaging
CT staging in the rare cases where cancer is confirmed.
- 06
Results and plan
A clear explanation and a personalised management plan.
Treatment options
Treatments tailored to you
Treatment is personalised through shared decision-making. Both conservative and procedural options are considered where appropriate.
Frequently asked questions
Your questions, answered
Why patients choose Mr Teleb
Consultant-led urology care you can trust.
Consultant-led care
Every consultation, investigation and follow-up is with Mr Teleb personally.
NHS Consultant
Substantive Consultant Urologist at University Hospital of Wales.
Evidence-based treatment
Modern, guideline-based care delivered to a high standard.
Rapid access
Most new patients are seen within a few days.
Personalised management
Treatment plans tailored to your anatomy, health and priorities.
Clear communication
Unhurried explanations, written summaries and shared decision-making.
Related conditions
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Patient information
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FRCS (Urol)
Fellowship-trained consultant
5.0 patient rating
Verified private reviews
Seen within days
Same-week appointments
All major insurers
BUPA · AXA · Aviva · Vitality · WPA