Scrotal Mass is a symptom abnormalities in the bag of skin hanging behind the penis where a lump or bulge that can be seen in the scrotum. The scrotum is the sac that holds and protects the testicles.

Causes of scrotal mass

Testicular cancer 

  • Testicular cancer is an abnormal cancerous growth that can be felt in the scrotum. This growth, or lump is usually non-tender and does not cause any symptoms in early stages. Consult your healthcare provider if you encounter an unknown new lump in your scrotum

Spermatocele

  • Spermatocele is also known as spermatic cysts or epididymal cyst. It is painless, benign (non-cancerous) and usually situated above the testis. It typically a fluid-filled cyst, containing sperm cells within. 

Hydrocele 

  • A hydrocele is a fluid containing sac that surrounds the testicle, often painless. 
  • Hydrocele in infants happens because an opening between the abdomen and scrotum has not properly sealed during development. 
  • Hydrocele in adults happens often as a result of injury or infection in the scrotum. 

Varicocele

  • Varicocele is an enlargement/engorgement of veins within the scrotum that carry blood away from the scrotum. 

Inguinal hernia

  • A hernia is an abnormal protrusion through a small opening. 
  • In inguinal hernia, there is a condition in which a portion of the intestine might push it’s way through an opening or weak spot in the abdomen and groin, into the scrotum.

Grade 1

Penis is larger but not hard

Grade 2

Penis is hard but not enough for penetration

Grade 3

Penis is hard enough for penetration but not completely hard

Grade 4

Penis is completely hard
Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Sildenafil (Viagra)

This medication is most effective when taken on an empty stomach one hour before sex. It's effective for four to five hours or more if you have mild to moderate erectile dysfunction.

Duration of effectiveness/half-life: 4 hours Dosage: 25mg, 50mg, 100mg Common side effects: Hot flushing, headache, abnormal vision (changes in colour vision), muscle pain, uncomfortable stomach
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Tadalafil (Cialis)

Duration of effectiveness/half-life: 17.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

Duration of effectiveness/half-life:
17.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

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Vardenafil (Levitra)

Duration of effectiveness/half-life: 4.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Duration of effectiveness/half-life:
4.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Our Recommendation

The treatment of Scrotal Mass depends heavily on the cause. Please consult your healthcare provider before deciding the suitable treatment. 

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General Health Screening

A full blood count will give some indication of the body’s general health status

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Tumour marker screening

Elevated tumour markers may raise the suspicion of a cancerous growth

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Testicular ultrasound

A non-invasive and quick way of testicular + scrotal imaging.

Treatment

The treatment method for frenulum breve is called a ‘frenuloplasty’, where the tension over the frenulum will be released surgically and a number of sutures would be applied to close the wound. 

Frenuloplasty may be done together with circumcision, sometimes, especially if the patient is having phimosis or other indications for circumcision.

Men's Health

Penile filler

Frequency: 
Depending on filler type. For absorbable fillers, in general, a top up is required every 2-3 years. 

Duration: 
Depending on target. A rough estimate of 30minutes- 45minutes. 

Pre-procedure preparation:
Numbing cream will be applied to site of procedure and left for at least 20minutes.

Penile block will then be given, so no pain will be felt throughout the procedure. 

Post-procedural care:
Minimal pain may be felt once anaesthesia wears off. Adequate pain killers will be supplied. 

Minimal to nil bleeding may be expected. 

No bandaging required.

No urinary issues is expected. 

May resume regular intercourse once pain subsided.

Men's Health

Priapus Shot (P-shot)

Principle of therapy:
Using Platelet Rich Plasma (PRP) from our blood that contains proteins involved in healing and growth

Duration of therapy:
30 minutes per session.

Frequency of therapy: Recommended frequency of once a week

Pre-procedure preparation:
None.

Side effects:
Blood will be taken from arm via syringe and needle. PRP will be extracted from blood and injected back into penis. Mild pain or discomfort may be observed over site of injection, however not lasting as small needle is used for injection.

Men's Health

EMkegel

Principle of therapy:
Using electromagnetic waves to simulate kegel exercise, strengthening perineal muscles- muscles involved during erection and intercourse.

Duration of therapy:
30 minutes per session.

Frequency of therapy: Recommended frequency of therapy would be 2-3 times per week, however flexible.

Pre-procedure preparation:
None.

Side effects:
Mild tingling sensation during procedure. Zero downtime post procedure.

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