Urology Clinical Challenge: Intra-Scrotal Mass

Abstract

A 38-year old male with a complex medical history, including epilepsy, renal failure and two prior hernia repairs, presents to clinic with a left extratesticular scrotal mass first palpated two years ago. Most of the history is gathered from the patient's mother and father due to his underlying intellectual disability. The mass is described as small, hard, and mobile within the left inferior scrotum. Patient denies pain associated with the mass, dysuria or hematuria, or urinary tract infections.