Small fleshy nodules on the testicular surface are usually common in the following cases: First, epididymis is attached to and wrapped around the testicle surface, and small hard nodules are normal on palpation. Secondly, chronic epididymitis is mainly secondary to acute epididymitis and becomes chronic after treatment, with small hard nodules at the head or tail of epididymitis and no obvious pain and discomfort. Thirdly, epididymal cyst is characterized by palpable cystic mass with hard texture. Fourthly, testicular tumor usually manifests as enlarged and hardened testicles without swelling, pain and discomfort. In the early stage, it mainly appears in the form of small fleshy granules with no obvious sensation, pain or itching. After the small fleshy particles continue to increase, you can go to the hospital to do white acetate test, which helps to make a clear diagnosis. If it is just an epididymal cyst, you can take oral antiviral treatment and the cyst will slowly disappear, if it is a varicocele, surgery is needed if it is serious.