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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Growing Lump In Right Scrotum?

Hi

My husband has a large lump in his right scrotum. He said it's not pain to touch but it does hurt to set down all the time.
He started bleeding from his ass about 3 weeks ago and said that a fishy smell comes from the lump when he squeezes it. The lump is growing. What's wrong? He won't go to the doctor because he thinks it's just hemorrhoids
Wed, 19 Mar 2014
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General Surgeon 's  Response
Hi.
Not going to a Doctor is a different issue.
What is more important to understand is that a fishy smelling discharge from the scrotal swelling can be due to a connection between this abscess and the anus or rectum
This is called a fistula-in-ano, a very difficult to diagnose and treat.. There will be a recurrence later on.
IF you get a proper diagnosis and treatment now- this can make his future life comfortable. The bleeding per anus can be from the internal opening of this fistula.
So please persuade him to see a Surgeon who can perform an internal examination now and prescribe appropriate antibiotics and anti-inflammatory medicines now.
Have Sitz bath in a warm water, high fiber diet and a mild laxative is a must .
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What Causes Growing Lump In Right Scrotum?

Hi. Not going to a Doctor is a different issue. What is more important to understand is that a fishy smelling discharge from the scrotal swelling can be due to a connection between this abscess and the anus or rectum This is called a fistula-in-ano, a very difficult to diagnose and treat.. There will be a recurrence later on. IF you get a proper diagnosis and treatment now- this can make his future life comfortable. The bleeding per anus can be from the internal opening of this fistula. So please persuade him to see a Surgeon who can perform an internal examination now and prescribe appropriate antibiotics and anti-inflammatory medicines now. Have Sitz bath in a warm water, high fiber diet and a mild laxative is a must .