The small fleshy ball that can be touched on the testicle is, in most cases, epididymal tissue. The testicle and epididymis are closely connected and together they are wrapped in the testicular sheath inside the scrotum. The varicocele in the testicle continues further into the epididymis and becomes the epididymal duct, which becomes the vas deferens at the end and is connected to the seminal caruncle. The epididymis is attached to the back of the testicle and is a soft, fleshy ball-like structure or soft tissue structure when touched by hand. When the sperm is formed in the epididymis, it is stored for energy and is ejected from the body after the sexual urge into the vas deferens. Therefore, the testicles and epididymis are normal physiological structures in the scrotum, and there is usually no obvious pain when touched by hand. If acute pain or swelling is evident when touched, epididymitis is mostly considered.