In some cases, the hernia may move into the
scrotum. Men are much more likely to develop an inguinal
hernia than women because of a potential weakness in the abdominal wall at the groin. If a lump in the scrotum is an inguinal hernia, the impulse from a cough may be felt in the scrotum. "
"A soft lump in the scrotum, especially if you can get your fingers between it and the testicle, is most likely to be a hydrocele.