In addition to the physical exam the urologist must consider many factors when evaluating a scrotal mass. The urologist will apply a bright light to the scrotum. This is a simple test to determine if a mass is cystic or solid. Analysis - oftentimes simple infections of the epididymis and or testicles cause swelling in the scrotum. A urine analysis can help delineate the source of a possible infection.
Testicular ultrasound is a very useful tool in describing the characteristics of a scrotal mass.
This information allows the urologist the ability to decide if further intervention is necessary. Ultrasound is quite accurate in assessing cystic structures. If the mass is confined to the epididymis, it is highly unlikely that it is cancer. Depending upon your history, physical exam, and urine analysis your urologist may decide to proceed with a testicular ultrasound. This information is provided for general medical information purposes only.