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1.The history suggest the possibility of
epididymal cyst, and next possible cause could be thickened chord, other possible cause vascular dilatation, fluid collection.
2.The investigation of choice in this case will be examination followed by an
ultrasound scrotum.
3.The ultrasound will help evaluate the nature of the lump, source of the lump and its extensions.
4.In case of mass lesion FNAC - fine needle aspiration cytology needed to assess the nature of the cells involved in the process.
5.Need to evaluate the cause - only then one can tell the ability of
fertility.
6.Get an appointment and needful investigations and treatment accordingly. good luck.
Hope i have answered your query,
any thing to ask do not hesitate to ask.
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