I have been thorugh a billateral inguinal hernia surgery 21 days ago. The left one was inguinoscrotal and was reductible. Since the first day after surgery, this specific mass was gone, but a smaller one above the left testicle was still there. It would get bigger some days and today, after a long time standing up, it was bigger than ever, almost the size the hernia was before, except that I cant reduce it at all and I dont feel any pain. I kinda doubt the surgery (with mesh) failed, and if it did, Id be feeling some excruciating pain. I tought it could be a spermatocele, but I havent read anywhere if it varies in size (depending on how much semen is produced maybe?). Im also curious if the hernia itself could have caused a spermatocele do develop (or just grow in size) due to its mass effect in the scrotum for many years.Thank you.
Hello, I suggest you to visit your surgeon again to see if the operated hernia is a success or not. Ultrasound is going to distinguish between spermatocyte and post operated hernia.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.