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Surgery for benign scrotal lumps

3-minute read

This page will give you information about surgery for benign scrotal lumps. If you have any questions, you should ask your GP or other relevant health professional.

What is a benign scrotal lump?

A benign scrotal lump is a lump in your scrotum that is not caused by cancer.

There are three types of benign scrotal lump.

  • A hydrocele is a build-up of fluid around a testicle.
  • An epididymal cyst is a collection of fluid in the epididymis (a tube-like structure that stores sperm).
  • A sperm granuloma is a small painful swelling caused by sperm sometimes leaking following a vasectomy.
Illustration showing a normal testicle compared to one with hydrocele.
a A normal testicle
b A hydrocele

What are the benefits of surgery?

If the lump is large, surgery will ease any discomfort you may have and make it easier for you to walk.

If you want to have children, it is best to leave an epididymal cyst alone. Surgery in the area of the epididymis can cause scarring which reduces your fertility.

Are there any alternatives to surgery?

The fluid can be removed using a needle but the fluid usually builds up again. It is possible to inject a drug that prevents the fluid from coming back but this may be uncomfortable and can cause an infection.

What does the operation involve?

The operation is usually performed under a general anaesthetic but various anaesthetic techniques are possible.

The operation usually takes 20 to 50 minutes. Your surgeon will make a small cut on your scrotum. For a hydrocele, your surgeon will remove the fluid from the sheath. To prevent the fluid from coming back, your surgeon will either remove the sheath or stitch it together.

Your surgeon will remove an epididymal cyst. This will usually involve removing part of or all the epididymus.

What complications can happen?

Some of these can be serious and can even cause death.

General complications of any operation

  • pain
  • bleeding
  • difficulty passing urine
  • infection of the surgical site (wound)
  • reduced fertility

How soon will I recover?

You should be able to go home the same day or the day after.

Do not do strenuous exercise, like running and riding a bicycle, for 5 to 7 days. Most men can return to normal activities after 2 to 4 weeks.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most men make a good recovery.

Sometimes the lump comes back.

Summary

A benign scrotal lump is a lump in your scrotum that is not caused by cancer. Most of them can be left alone but some cause problems and can be treated by surgery.

IMPORTANT INFORMATION
The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

For more on how this information was prepared, click here.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: September 2019


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