Scrotal mass confined to the scrotum

A primary or true scrotal swelling is one that an examiner can get above. It may be cystic or solid.

Cystic primary scrotal swellings include:

• those that can be felt separate from the testis:
  • epididymal cysts
  • spermatocoele
• those in which the testis lies within the swelling:
  • hydrocoele
  • haematocoele - does not transilluminate

Solid primary scrotal masses include:

• those that can be felt separate from the testis:
  • chronic epididymitis
  • acute epididymitis
  • torsion of hydatid of Morgagni
• those are within the testis:
  • testicular tumour
  • torsion of the testis
  • orchitis
  • testicular gumma