Hydroceles, the most common benign testicular mass in an adult, and spermatoceles are collections of fluid in the scrotal sac. A varicocele is an enlargement of the veins that drain the testicles and can increase the risk of infertility. An inguinal hernia is an out-pouching of abdominal contents that descend into the scrotum. Testicular cancer can occur at any age, although it occurs most frequently between the ages of 18-40. Signs and symptoms Hydrocele and spermatocele are generally soft, painless scrotal swellings. which can rapidly change size as the fluid enters or leaves.
Varicoceles are soft scrotal swellings, more prominent while standing or exercising.
Sometimes, varicoceles may cause a sensation of heaviness, or a dull ache. Epididymitis presents as testicular discomfort and swelling, and may include pain with urination. Inguinal hernias mayor may not be painful. They are soft and usually enlarge with coughing or straining. Testicular cancer can present with or without pain.