Causes of Scrotal Mass - Differential Diagnosis Algorithm Painful - Sudden Onset • Testicular Torsion • Torsion of the Testicular Appendix • Trauma • Incarcerated Hernia Painful - Gradual Onset - If with Dysuria see Dysuria scheme • Acute Epididymitis • Epididymo-orchitis Epididymal • Epididymal Cyst • Spermatocele Spermatic Cord • Communicating hydrocele • Indirect hernia Hydrocele • Communicating/non-communicating • Traumatic/Reactive Tumor - Solid = Tumor until proven otherwise • Germ cell Seminoma, Teratoma, Mixed • Non-germ cell Varicocele - Soft / "Bag of Worms" #ScrotalMass #Testicular #Urology #Differential #Diagnosis #Algorithm #Causes
