Scrotal Swelling

What is Scrotal Swelling?The testicles are housed inside a sac of skin called the scrotum. Sometimes there can be a swelling of the scrotum which is called scrotal swelling or edema. This swelling can affect the entire scrotum or there can be lumps in both or one of the sides. The lump can be painless or painful and most of the causes are highly treatable. In rare cases, it can be an indication of cancer, and hence it needs to be checked by a doctor. It can be caused due to an injury or an underlying medical condition. Scrotal Swelling SymptomsThere are several reasons for the testicular swelling symptoms and some of them are a medical emergency. The testicle enlargement is on one or both sides may be painful or painless.

  • Swollen testicles can be due to testicular torsion which is a condition where the testicle gets twisted inside the scrotum. It leads to blood supply getting cut off to the testicle.
  • Inflammation of the testicle
  • The buildup of fluid can appear as scrotal swelling.
  • Pain in the testicles
  • Burning sensation during urination
  • Blood in urine
  • Penile itching sensation

Who is at Risk? Scrotal swelling risks are high in:

  • People who have testicular inflammation due to diseases like Kawasaki disease, hemolytic-uremic syndrome.
  • Scrotal edema is common in the age group of 5 to 9-year-old boys.
  • People who have stroboscopic exploration usually have a risk of Scrotal swelling and pain.
  • People who suffer from testicular torsion have increased chances of developing this.
  • People who have epididymitis often have scrotal swelling
  • People having hydrocele also have a painless swelling of the scrotum.

Scrotal Swelling CausesScrotal edema causes can be many and it includes:

  • Hydroceles which is a collection of fluid that accumulates around the testicle. It can be caused as a result of trauma or injury or for no specific reason.
  • Hernias where a small portion of the intestine passes through the irregular opening (testicles fall into the scrotum leading to an opening that does not close). It can lead to scrotal swelling.
  • Due to cysts which are pea-sized or larger and apply pressure on the scrotum.
  • Varicocele is a collection of swollen scrotum veins that leads to painful or painless swelling.
  • Injury to groin
  • Swelling due to unknown reasons is also called idiopathic swelling.
  • Tumors

How is Scrotal Swelling Diagnosed?Scrotal swelling diagnosis is done by noting the symptoms the person is experiencing along with swelling. The doctor will ask if there are any lumps or it is painful. After noting this and medical history, a physical examination is performed.

  • The doctor will inspect the scrotum and ask questions related to the time the swelling started and activities that could have led to this condition.
  • A urine sample is drawn to check for signs of infection.
  • An ultrasound is done in some cases to check the internals of the scrotum.
  • An MRI or an X-ray is conducted to determine if there are any abnormalities in the scrotal sac.
  • If a tumor is suspected, a biopsy is done to analyze if it is cancer.

How is Scrotal Swelling Treated?Depending on the severity of the condition, the scrotal edema treatment options vary. It includes:

  • Staying in medical observation for swelling that is caused due to trauma, small hernias, idiopathic swelling, and hydroceles. Most of these do not need treatment and clears on its own.
  • For conditions like varicoceles, medical attention is needed as it can result in injury to the testicles and infertility.
  • Scrotal swelling medicine is provided to reduce edema and also to decrease pain in case it is painful. Antibiotics are prescribed for infections.
  • Surgery may be performed if the testicular torsion is found to be the reason for swelling or to treat severe injury.

Scrotal swelling needs to be evaluated just to ensure that there is no underlying cause for it. Painful swelling needs immediate medical evaluation and attention. Visit our specialists at to get scrotal swelling treatment. How can Scrotal Swelling be Prevented?Certain precautions can be taken to protect the scrotum and prevent it from swelling. They are:

  • Wearing an athletic supporter or cup to the groin while playing a sport or doing physical activity.
  • Use protective gear that is of the right size.
  • Be aware of the risks involved in playing a sport and talk to your doctor about using the right protective gear.
  • Consult your doctor if you feel any pain after an injury.
  • Apply ice packs even if there is slight swelling.
  • Place a cloth between the legs to keep the scrotum raised and reduce swelling in case of injury.

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