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.
The mass usually feels firm and arises from the testicle. Occasionally, testicular cancer may appear with symptoms of metastasis , which could include cough, shortness of breath, or weight loss. This type mass illuminates behind the light, solid masses do not. Testicular ultrasound is used to confirm the diagnosis. Varicoceles are diagnosed by ultrasound, which identifies the blood filled veins.