Hi,Dear,
Thanks for the query to HCM.I studied your problem in depth and I understood your concerns.
Treatment for the painful lump on scrotum-In my opinion you should not be concerned much about it , but should investigate it with your ER Surgeon,who would treat it according to its cause.
From your facts of the query-In my opinion-this lump seems to be a Boil of the hairy skin under the scrotum.The strong urine desire whne you press or ride on the bike-is mostly due to the peri-follicular cellulitis-causing the desire to urinate-due to the
urethritis in that portion of the perineal urethra-which lies under the scrotum.
So take treatment from your ER Surgeon, who would treat it after due investigations and treat it accordingly.
This advise is based on the facts from the history you give and needs further clinical check.
Hence I would advise you to check with ER Surgeon.
So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you.
Hope this would relieve your problem.
Welcome for any more query in this regard to HCM.
Write good resume and Click thanks if you feel satisfied with my advise.
Have a Good Day.
Dr.Savaskar M.N.