Scrotal Swelling

Scrotal swelling refers to an abnormal enlargement of the scrotum, the sac that contains the testicles. This condition can occur due to a variety of reasons, including fluid accumulation, cysts, infections, or tumour. Scrotal swelling can be sudden or develop over time, and the underlying causes may vary from minor conditions to serious medical issues.

Table of Contents

Symptoms

The symptoms of scrotal swelling can vary depending on the cause. Common signs and symptoms include:

  • Visible Enlargement: One or both sides of the scrotum may appear visibly larger than usual.
  • Pain or Discomfort: There may be pain, tenderness, or a feeling of heaviness in the scrotum.
  • Redness or Warmth: The skin of the scrotum may appear red and feel warm to the touch.
  • Lumps or Nodules: In some cases, you may feel a lump or nodule in the scrotum.

Causes

Scrotal swelling can be caused by a number of different conditions, including:

  • Infections: Epididymitis and, orchitis due to viral or bacterial infections, as well as some sexually transmitted infections (STIs), can all lead to scrotal swelling.
  • Hydrocele: A collection of fluid around the testis in the scrotum that can cause swelling.
  • Varicocele: Enlarged veins around the testis in the scrotum.
  • Hernia: When a part of the bowel or fat protrudes through the tummy wall into the scrotum, leading to swelling.
  • Trauma: Injury to the scrotum or testicles can result in swelling.
  • Testicular Torsion: A medical emergency in which the spermatic cord twists, cutting off blood supply to the testicle, resulting in rapid pain and swelling.
  • Tumours: Testicular cancer can cause scrotal swelling and pain.

Complications

If not treated, scrotal swelling can lead to complications, such as:

  • Testicular Damage: Untreated conditions like testicular torsion can cause permanent damage or loss of the testicle.
  • Infection Spread: Infections that cause scrotal swelling may spread to other areas if not treated promptly.
  • Tumour Spread:  Testicular cancer can spread to other parts of the body if not treated promptly.
  • Infertility: Conditions like varicocele and infections can impact fertility if left untreated.

When to See a Doctor

Seek medical attention immediately if:

  • The swelling is sudden and severe.
  • There is significant pain, especially accompanied by nausea or vomiting.
  • The scrotum feels warm, and there is redness.
  • You feel a hard lump or nodule in the scrotum.

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