There's a hard lump on the scrotum that hurts when pressed—what could be the cause?

Jun 15, 2024 Source: Cainiu Health
Disease description:

When I was sleeping, I touched my scrotum and noticed some small hard lumps on it. Pressing them slightly caused intense pain. I feel too embarrassed to go to the hospital for a check-up, so I'd like to ask: what could cause a hard lump on the scrotum that hurts when pressed?

Doctor's answer (1)
Dr. Wang Xiaoyan
Hard lumps on the scrotum accompanied by tenderness upon pressure may be caused by various factors. The most common causes are infections of the scrotal skin or epididymis, such as folliculitis or sebaceous cysts. These conditions may result from bacterial invasion leading to local inflammation, causing hard lumps and pain. Skin disorders like scrotal eczema can also produce similar symptoms. To accurately determine the underlying cause, it is recommended to seek medical evaluation. A doctor will make a definitive diagnosis based on clinical symptoms, physical examination, and necessary laboratory tests, and then develop an appropriate treatment plan. During treatment, patients should follow medical instructions precisely, take medications as prescribed, attend regular follow-up visits, and maintain good personal hygiene. It is important to avoid scratching the affected area to prevent worsening of the condition. In most cases, with prompt and proper treatment, symptoms can be effectively relieved and patients can gradually recover their health.