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Published on: 4/7/2025

What Could a Hard Lump between the Anus and Scrotum Indicate, and How Should It Be Evaluated?

A hard lump between the anus and scrotum could be a benign growth like a lipoma or something more serious like a tumor or infection, and it should be checked by a doctor. A healthcare professional can perform tests to determine its cause.

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Explanation

When you feel a hard lump in the area between your anus and scrotum, it might be caused by different things. Sometimes, a lump like this can be a benign (non-cancerous) growth such as a lipoma, which is made of fatty tissue, or a fibroma. However, other times it could represent a more serious condition such as a soft tissue tumor or, in rare cases, an infection that has hardened into an abscess. The best approach is to have it evaluated by a doctor. The doctor will ask you about any other symptoms you might have, e.g. pain, changes in size, or any redness around the lump. They will perform a physical exam and might order imaging tests like an ultrasound or MRI to see what the lump is made of. In some cases, a small sample (biopsy) may be taken to rule out any serious condition. Getting a proper evaluation is important to ensure that nothing harmful is being overlooked and to guide the right treatment if needed.

(References)

  • Nassif MO, Trabulsi NH, Bullard Dunn KM, Nahal A, Meguerditchian AN. Soft tissue tumors of the anorectum: rare, complex and misunderstood. J Gastrointest Oncol. 2013 Mar;4(1):82-94. doi: 10.3978/j.issn.2078-6891.2012.042. PMID: 23450454; PMCID: PMC3562632.

  • Bruketa T, Majerovic M, Augustin G. Rectal cancer and Fournier's gangrene - current knowledge and therapeutic options. World J Gastroenterol. 2015 Aug 14;21(30):9002-20. doi: 10.3748/wjg.v21.i30.9002. PMID: 26290629; PMCID: PMC4533034.

  • Sigmon DF, Emmanuel B, Tuma F. Perianal Abscess. [Updated 2023 Jun 12]. In: StatPearls [Internet].

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